HomeMy WebLinkAboutMortgage_Hudson"��v STATEMENT OF MQRTGAGE OR CONTRACl�1WD�6 Ef IgE� Coun
.._—
• FOR DEDUCTION FROM ASSESSED VALUAIIO
• State Fotm 43709 (R71 / Cr09) `1 f� O ZOIZ
S,,,� � Presal6ed by DeP��nt af Laml GwemmeM Fuwce NO y{�
INSTRUCTIONS: C .�.
To be filed in person w by mad with the CourrtyAuditor or Counry Recorder o( fhe county where the I�ted.
Filirg Dates: 1) Real Property: Must �de durirg tha year for which the deduction is sought. TY AUDITOR
2J MobRe /ManufeGured Homes rrot assessed as Real P/nperty: ��pHu�� hvelve (12) monfhs
6elore March 31 of each year the deduclion is sought. -
See reverse side /or additional instnicGOns and qualifications.
Ma�t(ownerwcontraubvyr�-seereshictioasmreverseside) f i l
- a� - h( 0 3-� l 8'
Ma�d� 1, aarml yrar � as N Mortqage /NCrtoen �irWe6tedn�s unPaid as of ��B f
March 1
�
rc ro. whai Is his! Mr e�ct share ot interesi? IF ovmed wi� sor
Ii `wne m femrd'a drtierent Wn that N app&:ant hqinte 6elow.
Name af mortgagea
AAd2a of mM9a9ce
awneror
stree; cy; stafe,
Does eppfi�nt own pmperty in any other
munlymlMiaria? ❑ Yes
❑ No
zo � zo
rel, cdy, sfate. arid ZIP code)
ZlPcatle)
If yes, what munt�/1
COUNTY A
20_ � zo
�
�
File Mark
Fam filed wich:
�CounTyAud'ROr
Couniy Retorder
number � Page numbrr
unpaiO as d I Is ihe appfinnt We sole
legal m equita6le oxnell
n Yes ❑ No
Is ihe V�PeMY in Guestion: MnuaOy Asscssed
�lf2eal ProPe�b ❑ ��Y�
�%� Mod7e Fbme (IC 6
:�c01�......
D�-a�� ei• ��........ •
5�3�....
C��� ����y1�"�
— I
�� ��.
teE m P��Y
fes ❑
zo
I/ We certify under the penalty of perjury Nat the above and foregoing intortnation is We end cortec[ and that fhe appiirant is a resident of Indiana antl
owner I wntracl buyer of the atorementioned property on date appfication is filed.
I�wSa (oxnefs fu0 rmme) n � Date (rtwnth. daY lree�
state,
Address of auNassEd person (num0er and sneeL �; sbte, aM LP mtle)
� �C � U.l
Date (monN. tlaY• Y��)