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STATEMENT OFMORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION
State Porm 43709 (R7 7/ 6-09)
Presubed by Department of Local Govemment Finance
. �
u n Year
5 2012
SEP l OF��1�nark
INSTRUCTIONS:
C.'J.M ""—
To be filled in person or 6y mail. i with:
Filing Dates: 7J Real Property: Must be aompleted and dated in the cafenda� year (or which lhe deduction is sought.
Musf6e�ledwiththeCountyAudito�o�CountyRecorde�olthecountywherefhepropertyisloc�7�SONCO NT UDI B�TyAuditor
/on or 6eto2 January 5 0/ the immediately succeeding ralendar year. County Reco�der
2) Mobile / Manu/actured Homes nof assessed as Real Property: Must fi!e with fhe CountyAUdifor o/ the
county whe2 the pmperty is locafed dunng tha Rvelve (72) monfhs before Maich 37 of each yea� the
dedudion is sought.
See reverse side (or additional instructions and aualifications ._
contrad buver- see
Brandon L. Luhring and Jamie L. Luhring
� . �_
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�ssessed value of-real property as
Aarch t, wrzent year
! no, what is �is / her exad share ot
f name on record is differeni than th
Jame of mortgagee or convact selle
ieritage Federal Credit Union
\dtlress of mortgagee or wntract ss
i388 Old State Highway 66, N
dame of assipnee or other owner or
Key number / legal description 7�
Address
10283 S 475 E Haubstadl, Indiana 47639
Mortgage / GonVad h
March 7, wrtent year
S290,000.00
IN 47629
o?�/a I j jo G
as of Mortgage / ConVact indebtedness unpaid as of Ils the appiicant Ne sole
tlate of apP����on legal of equitable ownei
E] Yes ❑ No
rned with someone other than spouse. indi�ate wilh whom
�Is e property in queslion: Annualty Assessetl
Real Property ❑ Annually Assessed •
Mobile Home (IC 6-1.1-7)
Does ap0licant own property in any other I( yes, what counry? Whal Taxing DisUict? Has Nis deductlon been requesied on property
counry in Indiana? / for curtent yeaR �
, ❑ Yes d No Yes ❑ No