HomeMy WebLinkAboutMortgage_Flaningham�
"'� STATEMENT O ORTGAGE OR C NTRACT INDEBTEDNESS Coun Tovmship Year
_. FOR DEDUC ON FROM A D VALUATION
� s�ee Fom� as�ae �i i i s-o9>
,,' w. � Presrn'bed Cy OePartmen� of LorW Govemment Finance
File Mark
lNS7RUCT70NS:
To be 6fed in erson w 6y mail wrtlr the Coun Auditor orCoun Recorder of Ne coun wheie the F �
P b b �Y P�P�rtY is located.
FI!'irg Dates: 1) Real PmpeRy: Must file during fhe year for which the deduction is soughL � ���
2) Mo6de / Manufactured Homes rrot assessed as Real Property: Must file during the M1velve (72) months
befo�e Mamh 31 of each year the deduclion is sought. � ❑ Co er
SeeieversesideforaddrtionalinstrucGonsandqualifications. GIB AUDITOR
�ucoon approvad in the amount ot
zo _
�re������
zo _ i Zo
I I We certify under ihe penalry of
owner I contract buyer of the afw
Ge*rAn
zo
rjury Nat Me ahove arM foregoing infort
entioned property on date appiicabon is
qtl stree[, � te. erW LP catle)
�iQ.iJ�,l�
�f orney or by IC G7.7-12-07
�4 �Y, st�te, aM LP code)
Id• �S�'8—
F�(��y K - ���►
�f�qQJ{� � Ganaa�
� 11-�3-�a
� I 1 ������.�
Data (month, daY.Y��