HomeMy WebLinkAboutMortgage_LinigerN� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
�_ FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn 43709 (R71 / 609)
�- s are�;ned ey oevert�m of �om cwemmen� F�� �. �File�MadV �
INSTRUCTIONS:
To be �led in person w 6y mail with the CountyAuditor or Counry Recorder oi the tounty where fhe property is located.
Fiiing Dates: 1) Real Property Must 61e durirg fhe year for whirh the deduction is sought.
2) Mo6Re /Manuladured Horzres rrot assessed as Real Property Musf file dunng fhe twelve (12) months
be/ore March 31 oteach year the deductlon is sought.
See reverse side Ior addifional instrucfions arM qualfications.
Ap t(owne� arcontraU buN�' sea restnrl'�s m revzrse side) . . "'
rr ; a^n
AudROr
Recorder
r/ legal�fsa�tion // R¢rnN numbel Page numbr!
- ��/oi-01-/Odr b0�.8�3-0�8 �99 (oY�l3
ge / Contraa'udrbtedr�s unpaitl az d Morigage I Con7aG udehtedn�s �mpaid as d Is ihe app&ant ihe sole
1, aurnnt yetv Eata o( ap� legal w equilade o�melT
f� O OO O ❑ Yes ❑ No
tt oaned vriih sorrieane ottrer tl�an sD�e. 6Wlcate riN vitprn
Nan Mat N aPP��t'uMicate 6ehw
Name W mwtga9ee a mntrsU se0er
Pddress of mortgagee w mntrad x0er
Nama or assignee «omu awner or
S
slafe,
li�anl own pmperty in any Ol�u
Ind'ara7 ❑ Yes
❑ No
eet, cdy. stafi. aMZlPcode)
LP cotle)
If yes, wha[ county? NRat
I
6 �he property m QuPStion: MnuaDYASSessed
� Real P(oPenY ❑ �+!?��'1 �
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Dratirer i\'0... /�9� .....
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