HomeMy WebLinkAboutMortgage_Schnaus^'� STATEMENT OF MORTGAGE OR CONTRAC�iND�8YE8N��'& Coum
FOR DEDUCTION FROM ASSESSED VALUATION
• State Form C3709 (R71 / 6-09) NO 1/ 1 p�O ��
•�' j Presrnbetl b1' DeVartrtrent of Lacal Gavemrtrent Flrwrce 1 J
,.�. C . J.
INSTRUCTIONS:
To 6e filed in person w 6y mad wiM the CourrtyAudilor or Counry Recader of,y �ounty where th is located.
Fi(vg Dates: 7) Real Pmperty Must file during Ne year /or which the deduc671�r��fIrOUNTY qUDITpR
2J Mo6Re /Manufadured Homes rrot assessed as Real Property: Must file during tAe hveNe (72J months
betore March 37 of each year the deduUion is soughL -
See reverse side for adtlitional instructnons and qualifications.
Year
File Mark
Fortn Ned with:
�CountyAUdiinr
counry Recorder
t(o rw 6uyer�-aee on2verseside) � �
T �istr'vl ' Key mun r legal desaip' Reco�d numbri
lo-i9-Z�yOG C�b� 3$ �°�S n0 a
Ass�ed rdua dmal pope�:y as d Mwtpage/ Contrati Ndehtedness unpaid as of Mortgage / Con� irWebteMea unpal0 as d Is Ne a
MarU 7. mrent 1� Martl� t. armnt Y� Oate of appfimtnn kyal w
�
m remntl is Gfiemnt Nan Nat ol app6ran4 mtlinte 6elovr.
Name ot nnr�gea «contract seller
C`
( ,�o ,... �. .,. 0 0 �
Pddrea of mort9a9ee or mntract seAer (ni
Name M asvanee w othet owner or hddet
�1�
�(number and streaf, tily, slate, aM LP m0e)
property in any oNer If yes, wha! munt�/1
❑ Yes ❑ No
zo_ � zo_ � zo
mnieone
Yes LI No
xtim:MnualyASSesseE
� Amtually Asse55ed
Mobile Fbme OC 6
I........
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Card 10• .....�1"iGA��a%'
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yEa�
� P�D�Y
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I/ We certify under the penalry of perjury that the above arM foregoing infortnation is Vue and cortect and that the applirant is a resident of Indiana arW
awner I contracl buyer of the aforemerttioned property on date appliration is filed.
�iyre (awnefs .^a^� i� 1 . Da[e (nmfi, daY. Yea�
by tlWy �ecvtetl Power
Pddress of auNwsseO persan
ntl 5Lee4 mY, �1e, emtl LP m
�jc� �cca'�c�r
1f Attm�ey or by IC 61.142-0]
s'reef, ury, srdte, and LP cade�
Date (rtronN. daY.