HomeMy WebLinkAboutMortgage_Arvin^�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship vear
__ : FOR DEDUCTION PROM ASSESSED VALUATION ���
. .• State Fortn C3709 (R11 f 6-09)
�S ,w f presmbed by pepartment of Loral Gwemment Frence
File Mark
wsrRUCnoNS: JUL 2 5 29�2 F,,,,,A�a,�;m:
To 6e filed in person oi by mail wifh Ihe County Auditor or Counry Recorder o� Ihe counry whe2 the property rs ocafed.
Fifig Dates: 7) Real Property: Must file during the year /or which the deduction is soughG C. � 72Jtn�n � Counry Auditor
2� Mobde / Manufedured Homes nof assessed as Real PropeRy: Must fi7e dunng the twen�Ce� Vfhs
6e(ore March 37 0/ each year the deduction rs sought. ❑ County Recorder
See reverse side Ior additional instructions arM qualifications. G IB S ON COUNTY qUD ITOR
qsxessetl rdue a real pioperty as of M ge / Contraa inde�.
�,,.a.,�,� '��a �`o
I( ro, whal'a his I her exazt share ol interest?
II �ume on reowd "a tlAtemn� Wn Ihat ol apptiont, uiCUate bebw.
Name M rtqrtgagee or cmtraa seller ��
�
Adtlress of morcga9ce or mntrad seLer (numbrs and streeL �Y. stare, aM
Name o1 assignee w olher owner w MWer af nwrtgage
PdE2s5 of asvgnee (num0er arM svee4 �N: �, an0 ZIP code)
Dces a�imnt own property in a�ry
;��n��i�e�a r, _.
�a�J
number
as d
owned wiN someone other than spouse, indirate with whom
I If yes. what count7�+ I Whal Tadn
No
GOIINTY AUDROR
DraucCan approved'o� Ne amount of.
za _ � �
sg�we d cwnry,wea«
zo i � _
Caunry
I/ We certify uMer the penalry of perjury that the above a� foregoing intortnation is We and a
owner I contraci buyer of the aforementioned property on date appliplion is filed.
7ranue (ownerEfi�ryy ) /�
/' re . ] � //� � � // / �
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aLeceyt, cti�ry., �sta{te�, aM Z�IPpcoQde�),
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atm�ey or by IC 61.7-t 2-07
AEtlress of auUroraed persa� (numberard sbee{ cvry, state, and
ves u No
Ihe property in pues0on: Mnua�y Pssessed
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