HomeMy WebLinkAboutMortgage_Kendle (2)^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_,�_,_ a FOR DEDUCTION FROM ASSESSED VALUATION
State Fortn C3709 (R71 / 6O9)
S` ,� � presp�Led by Department of Lotal Gwemment Finarxe
INSTRUC110NS: ��
To be filed in person or 6y maa wiN Me CountyAudifw or Counry Recorder of the county where the property' t � u
F�Fng Dates: 1) Real Property M�st file dunng the year for which the deduclion is snughL County Auditor
2) Mo6de / Manufactured Homes not assessed as Real Ploperty: Must file during the hvefve (12) montysOV '� ��Z County Recorder
6efore Mamh 31 0l each year the deduction is soughG IV
See reverse side lor add8mnal instrucGOns arM qualifirations. r. 1�,—� _,
� I d��-�`i-� 9�n3 a� �
�MOrtaaue � co�o-au 4dehtearmss u�oaid as
Mamh7.qmntyear Marrhl airtrnc
i a a'�
tt m. what is Ns / trer euct share ot interest?
tt name on Rcoid is SMerent Wn that of aDP��t mEinte bebw
r+ame m rtnrtaasee « ca,uaa seuu _�
�
PAd2a of rtnrtl�Jce w contraG seller (numbrl ard street u1Y. sb�.
Name oT assi9�ee w other owner w halder af mortgage
AdCress ot ass9�e (numbrl eM sbeet �Y. sbte. aM LP ootle)
Ooes eppli�nt ovm pmperty in any oNu
counrymind'are? ❑ Yes n No
,�
in �he amount of:
20 _
tt a�med wi� sarneone
Dra���er NO�����..........
Card NO. . 5g03.........
� I D�, 3C0. °O
�
iitabie amM
Yes ❑ No
Is Cie 7roPP+N in question: MnuaOyPSSessed
❑ Re� a�oaenv ❑ almuany a�
Has ih�v deduUian Deen
for curtem yeaYl
20 _
�� c�. e�Y r�a�
P�DPnY
❑ No
20 _
I/ We certify under the penatty ot perjury that the above and toregoing infortnation is we and correct arW ihat the applipnt is a resident of IrMiana aM
owner I wntract buyer of the aforementioned pmperty on date appfication is fiied.
V¢NfE (olknll'f hN Rame)^� Oate (monfi� daY. Y�e�
Pelsan auttwtrzed Dy
w by
V� (numOerarMSbae4�Y.5faM.endLPOOde)