HomeMy WebLinkAboutMortgage_Turner (2)'°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
__ = FOR DEDUCTION FROM ASSESSED VALUATION
• Sta[e Form 03709 (R71 / 609)
�'` � Presoibed by �epaRmeM O( Local GovemmeN Fuance
� INSTRUCTIONS:
To 6e !(ed in person w by mail wiN the CounryAuditw or Counry Reco�der of the counry where fhe property is located. {� �� � 2
Filirg Dates: 1) Real Property. Musf �le dunig the year for which tha tleduction is saughl. � County Auditor
2J Mobr7e / Manufactured Homes rrot assessed as Real Pmperty: Must h7e dunng the fwelve (12) months C �. �Y
6e(ore Maich 31 of each year the deduction is so1ghL ry Rec°�du
See2verseside(oraddi[mnalinsfructionsandqualifications. ,,,o�,,.,,,,,,,.,r� „,,,,,r,,,,
T� istriet � KeY nunher / legal �Esmj�tion RecoN number Pege number
2-�•�a-o�-ioY-o°3• S3�-oa3' 9 �IS3�
Msessed vdlue d real poPertY as d MoRGage / Contrac[ irdehtedness unPai7 as N Mwtgage / Contratl'uMebted�ss unPaiO as d Is �he aDDrrcant Ne sole
MarM 1, amrnt year Mamh 1, wrtent yeer date of aOP�m�� legal ar epultaNe owne/!
D (�' ❑ Yes ❑ No
H M Wfd� ES I16I IWJ CW2 SI13f8 Oi If11PlE5R �i OWfICd WIIi150lIICOf18 Oi�18f p13I15 . YIdK8I8 WII�I W�qIT
pn 2wrp iy dfieren� Wn Nat af appGrant'udinte behx-
Nartre of mort9a9ee ar mntrari seller
Address of rtaryaqee w mntratl se�
Name of assignee w other owner or 1
Adtl ofassignee(m�mberantlatr
DOE58�Itl11(OWflpfOpC!(j�1118 O
munry in IM'ana? ❑ Y0s
►
,
DeduCtiOn apywed'ut ihe artqUN a�
��mber aM sveeL �al: sfate, arN LP cade)
� M mortgage
iry. state. and Z/P mde) �
.
If yes, what count�/1 Whal Taa
❑ No
COUNTYAUDRO
20 � 20 _ � 20
Audi;or
I I We certify under the penalry of perjury4fiat the al
owner I conVad buyer ot the aforementi e pe
Sq7rewre (owrre/s (WI rurtre
f rrsidem ddress W �bcam p� Gerapd�dry, �
/ � n Fif..�o0.woh/�
Pei�an au�lw�aed by dWy ezecuted Paw� of Ailomey rn Oy I
Address of autlqeaed persa+ (num6er and sfrre4 �ry, s+a1e,
GS 1�1C PfUpEt�Y 111 QI125M#1: iV11fU2�' �
❑ Real ProPenY ❑ Nmuall�' Assessed
Mobile Home (IC 6
Tu�E2, s/��z�3 y .T '
/�-�/�D T T2 .
D�t-�/530 J
20 _ 20 20 _ 20 _
Caunry Date (mmrh. daY. Y��
r
foregoing infortnalion is W e and cortect arid that the appiitant is a resident of IMiana aM
te apP�inlion is filed.
Date (mw+fi, daY, Yaa�
' � ��
�Y 1�e�