HomeMy WebLinkAboutMortgage_Watt"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION �� �
Slate Form l3709 (R8 / 2-07)
S yu � Presmbed by DepaNnent of Local Goeemmerd Firiance
iNSrnucnoNS: MAY �����79
To be filed in person or by ma� wrth the CourAyAuditor W the courtty where the piopeAy is bcated.
Fding Dates: 1 J Real Property: During the 12 months before June 11 d the year the deduction is fo be elfective.
2J Mobile Hames assessed imderlC 61.1-7: Be(ween January 15 end March 2 of the yaer the deductim
See reverse side fa additiurol insWctions ard qualifications.
Appicard mer ar mn6arf b�yer' see re ms m�verse sda) �[/
���. T�
T g i�d Ke wmba/legaldesaiption
-� lo- - ao
ed vdue or real pWatY as d Mard� 1. anent year ' Mort6a9e / CorNaC iMek
Q1RenlYear �
If�If is his I her exeq share af interest?
reard is EiHerenl than Nal N applirarq, i�mte belwv:
Name of mortgagee or canUact sNler � �/�
Address of mongagee ar canUad sd� (num6er and streeL o1Y. sfate, and LP oode)
Nartre of assigrree w aher owner or hdder of martgage
Addtess of assi9nee (rum6m and sbeef. dfl: sfate. and
ooes applicaM o.m popeRy in airyl dher
cauNy in InCianal
❑Yes � No
Oeduction appmved in Ihe amaunt oE
20 � 20
Signature a1 Counry Audilnr
�r,�s. �,,� �,�
rS�
� ��
Remrd number PagaS �
�D. � �/D - 0�-- 8
:s u��d as or r.wa� i. is u�e a��i u�e sde ieysi a equi�aae om,en
Q � ❑Yes ❑ No
awned wdh sort�mne other U�an sP�se. ird'icate wifh whom.
What Te�dng Dis�ric
couNTrauoROR
N1 20
CourHy
Is Ne properry in quastian:
❑ Real Fhoperty ❑ MWnle Horne QC G7.1
4�ATf, ��� .�
p�r.sy L
Uq-l�.qs
20 _ � 20
I I We certfy under the penalty of perjury ihat ihe above and foregoing infwmation is true and cortect and fhat Uie appGnrtls was / were a resident of
Indiana and owner of the aforementimed property rn March 1, 20 �
ireture (ow�efs nr� name) oate (montn. aar. r��
a
ar by IC 61.
persan (num6eiaMStreel.nfy.state,
Dale (monfh. EaY Y��