HomeMy WebLinkAboutMortgage_Mosby (2)"�n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
__ : FOR DEDUCTION FROM ASSESSED VALUATION
.. n SMate Farm 0.i709IR11 / 6-09)
�` yw � pr¢spihed by �epartrtrent af ln�al Govemment Fnance
INSTRUCTIONS:
To be filed in person or 6y mail with the CounryAuditor or Counry Rewrder o/ fhe county where the property is located.
Fiiing Dates: i) Real Property: Mus[ file dunng fhe }rear for which the deduction is soughf.
2) Mo6Be /Manufacfured Homes rrot assessed as Real Property Mus! file dunng fhe tweNe (12) monfhs
6efore March 31 of each year the deduclion is sought.
Sea reverse side lor additional insVuctions aM qualifications.
qppfiwnt(mmero/�'"hactpy�r-se�restr' � °"re'i3«e� . A �. .... w
T� D�=�� _�a - �Y� a,�a�
Asessed �Wtre d reai Pmpe�tY es d Mo grt a
Mar�h 7, ¢maH year Mard�
II ro. whal Is ha I hri exaU share Of interesl?
It name m �emtd iv dAtuent Uian Nat ol app6cani, tr�Cira
�-yoo-ODC
/ Contract iMehtedness w
Name ot rtwri3agea or contrarl seiler ✓�-�--�' "
P,ddress ot �mtga9ce w contract seAer (mm6er and streaL �}: sta�e.
w othrl ownat or twlder of mvtgage
o( acsi9nae (number and streel, rity, state.
� CountyAUditor
❑ ��Ty��i2
of I5 Ne appG�ant Ne sak
legal a equitaNe ox+re(1
n Yes ❑ No
mmeorie mhu ihan sPa+se. mdrate Wth wMm
Is tice property in Question: MnuaDyl�sse55e0
;] Real Properry ❑ Mnualty Assessed
Mabile Home (IC 6
��
Oces aPW�nt wm popeM in any other `I( yes. what munt/? I What Tari�g �istrirl? I F7as �hs dedudion been requesteA on propMy I
counry in Inda�a? n„o� n ti,. I for a�rent yeaR ❑ Yes ❑ No