HomeMy WebLinkAboutMortgage_Bridges (2)ry�+ STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
__ FOR DEDUCTION FROM ASSESSED VALUATION
� Slale Fortn 43709 (R11 / 6-09)
� � Pf¢sm'bed by DepartmeM of Lnral Govemmenl Friance
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INSTRUC710NS:
To be filed in person or by mail with the CountyAudiror or Counry Rewrder o� the counry where the property is located. F�����
Filiig Dates: 1) Real Pmperty: Must file durirg Ne year hr which the deduction is sovghL � Cpuq ud"rtor
2J Mo6de / Manufectured Homes not assessed as Real Property: Must file dunng the IweNe (72) mon(gsgS 0 CC�U, T'��� R�er
betore MamA' 31 of each year the deduction is sought.
See reverse side for additional instrucWns aml qualfications.
icGOn approved'o� the amoum of:
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W Ca�mb Audiror
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1 I We certify uMer the penalry of � .���auon is We and cortect arM Nat the applicant is a resident of Indiana aM
owner I mntrad buyer of the afore __ rwrnY on date appliration is filed.
� (o hAreme , Date(monUi.daY•Y�A
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� F 'tlent atldress o a�rent (number a e4 �+N. �te, antl LP cotle)
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Pe�.,on autln�¢e0 Gy dWy executetl Power of Attomey rn by I 67.1-12-0.7 Date (rtronlh. tlaY. Y��
Add2ss IN euMmrrsed person (numberand stree; Wy, state. an0 ZlPcode) .
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