HomeMy WebLinkAboutMortgage_Sevier.a °•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION
. .. State Farm 43709 (RB / 2-07)
�O �•� Presrnbed by DepaNnent o( Local Govemment Finance
��N
File Mark
�nurnucrioNS: APR 1 0 2008
To 6e filed in person or 6y mad wifh the CountyAuditor of fhe county wheie the property is bcated.
Fding Dates: 7J Real Property: Dunng the 12 months be(ore June 11 of the year tfie deduction is fo be alfective.
2J Mobile Homes assessed under IC 6-1 _ i-7: Behveen January 75 end March 2 of the yeai fhe deduction is to be`aIIee6ve. � v
See reverse side lor addiLonal insWCtions amd qualifications. O'�a� /,�a�
Applican� (o�rr co�l�ad buyei-see re ' reverse s�l
�
hssessed value ol rral prapary as of Mard� 1. �
If m, what is his / her exaG slwe of iriterest?
�
If ...e m recard is different Ihan Ihat of appl
Name af mortgagee or canUacl seller
Addrrss of moM1gagee ar conVaC selter (num
Name of assignee or dher owner w hdder ol
Adtlress of asvgnee (mxnber aM streel, city,
Does appliwnt ovm property in erry dhm
caunry in Intliana?
❑Yes �No
OeduUion ap0�'+� �� �e amwnt o(:
zo OS zo�
Signawre of Couny AudGnr
�er / legal desaiplion - �
-G - - �- oO-
rerq ysir MMgage / Cantract indebtetlness unPaid as of March 1,
aurent year n n �. .. � _
sfate, aM
code)
I/ yes, what counry?
y
sde iegal �a e/quitade o.meR
j(1Yes ❑ No
wdh sartieone aher ihan spouse, indicate vrith Mrom.
COUNTYAUOROR
0
�
—'i
zo :
he property in question:
Real Prqperty ❑ Mobile Home QC 61.
Has Ihis deEudion bcwn requasted an P��NY
_ ,for arrenl yrv/7
r� _ .r_�.__
nra„��r No.6�.-..!�° °.Y.
�
CaC(1 NO . .....................
1! We rtify under the p�na� of perjury tlial the above and foregoing infortnatbn is true and mrrecl and thal fhe applinnis was / were a residenl of
India�andAwr}er ot th� a ementioned property on March 1, 20
�naSur� ( / 1 name) . Date (month. daY• Yea�
t/ �/ y/ /
� '1'�i _ / / b (O �
Power of N�wrrey w by IC 67.
Pddrrss of aulhor¢etl person (numbeiaM sbeet
Date (manN, tlay yea�