HomeMy WebLinkAboutMortgage_Armstrong (4)^�� STATEMENT OF MORTGAGE OR
_ _ � FOR DEDUCTION FROM ASSES:
. • State Form437W (R71 /6-09)
� � Presrnbed D�l DeP��n[ af Laai Govemment Fuwn
� E� l.y ����
INSTRUCTIONS: D
To be fiied in person or by mad wdh (he CountyAWiror or Counry Recorder o( the c�err�, p rty is bcated.
Fifi�g Dates: 1 J Real Property: Must file during fhe year (or which the deduction is sough�(h�� ^
2) Mo6de /Manufactured Homes not assessed as Real P/uperty: Must fi!e dfuin � p��f2�months
6efoie Ma/ch 31 o/each yearthe deduction is �hG G1BSON �OU�
See reversa side for additiWnal instrucGons end qualfications.
MP�'?���iowreror mntrao •^
rc m. what ts his / trer e�C share ot interest?
If n3me on remrd i5 ddlernlrt than �hat of aPP��L mdifate belo'�'.
Name ol assignee or other owner or hdder of morigage
AOCmss of assignce (numbrs aM svee4 �Y, stefe, and ZIP catle)
Oces aPplimnt wm property in a�ry oNer 1( yes. what counry7
munry m IMara1 �.. �..
approved'c� the artrount aE
File Mark
Fortn Ned with:
�CounryAuditor
Counry Recorder
Reco�d number Page numOri
U '
i�Webiedness unpaid as of Is ihe appOram the sa
� � U Yes U No
I( ormeE vri� someofre oNu than spouse. uM'w[e WN whom
Is tlu DroPertY in Question: Mnua�y Assesse0
Reai PtoPenY ❑ ����Y � . . _
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C, �,� �
'�� A ��P�
fes ❑ I
ia- ygoy
20 _ 20 _ 20 _ 20 20 _ 20 _ 20 _
yianne U Coimry Auditw Counry Date (monlh, dar. YEa�
I! We certify under ihe penatty of perjury that ihe above and foregoing Information is W e end cortect and that the applinnt is a resident of Indiana arM
owner I contract buyer ot the afwementioned property on date appliration is filed.
etldres of ap�nt (n�Tn6er antl slreet,
bylC
author¢ed p�son (numberentl sbeef,
rl�/C/
Date (rtwnN.