HomeMy WebLinkAboutMortgage_Carpenter^'+v STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year �
_. + FOR DEDUCTION FROM ASSESSED VALUATION
' Sfate Fom C3709 (Rt1 / 6-W)
�' I Presmbed M DeP��nt ot Lo�l Govemmek Fuarce
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INSTRUCT70NS:
To be filed in erson or b mad with the Coun Auditor or Coun Recorder o( the coun where the ro FO1ip �� ��� (� Q ,(�'
P Y N N � P PertY is located. ��ntj� AL?a�+2
Filirg Dates: 1) Real Property. Must fite dunm� the year tor whicM1 the deduction is so ht �
2) Mobde / Manulactured Homes rro[ assessed es Real Property: Must Ae dunng Me hvelve (72) months
6efore March 31 of each year the dedudion is swighG ❑ C.�'9. �
See reverse side for addrtional � structnons and qualfications.
Appf�nt(ex�re�wryq(ratl6uye seeresfirDUnsmrevers�side) n y OUNTYAI�nirn
r - isvia - tcey �wtr�#s / k�
V
A�esse0 vaWe oFinal p�operty as W Mortg
A}a�U 1. tlrrern ye2r Ma21
u no. wha� Is nis � ner eYao shara or inceresn
tt rwne m remd's d}Irlmt Ow� Nat ol appbcant, trMk
Name W mortBa9ee ar mntrarl seller
Address W mortgagee or contract uller (niunber and sd
Nama o/ assi�yiee or aCml awner or hdder of mpr(gage
Address of assgnee (numba`aM street, aTy, slata, ard
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cify, stam. arrd ZIP code)
d
��
aem�d
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� � U Yes U No
tt wmed with someona aMel ttan spouse, IMkate wYtli wfrom
' ' ' Is tlie P�7P+b in question: AnnuaOy Assessed
❑ Real ProPeNY Q !lrmua�hl A� _ . _
Does aPpli�aent ovm yoperty in any other ' �-T• R P��✓ � L/Li v�� /"N L
�„� � ���? ❑ Y� C ' �,�J,� �
Jd -5oai�
ZD � 20
County
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Date (/nmfh, d3Y.1<a�
� P�nY
❑ No
20 _
I I We certfy under Ne penalty of perjury that the above and foregoing infortnalion is We and corteG arM that the applinnt is a residen[ of Indiana aM
own I contrad buyer of the aforemerttioned property on date applintion is filed.
7 xnefs f�ID reme) . � p�¢ (�. daY Yaa�)
state,
P�..on auNaaeA by d�ty r�ew�e0 Pmver of Atmmey w by IC
pusm (num6er arM sbeeC �'/�Y, stale, aM LP oode)