HomeMy WebLinkAboutMortgage_Askren.> °^n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count 7ownship Year
FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R8 / 2-07)
S' � PresrnbeC by Departmenl of Loral GovemmeM Finance
NN
File Mark
INSTRUCTIONS:
To be filed in person or by mad wrth the CountyAuditor of the county where the properfy is bcated.
Fding Dates: 1) Rea! Proper(y: Dunng the 12 rtronths be(ore June il of the year the deduction is to be e Gve. �j
2) Mo6ile Homes assessed under IC 64.1-7: Between January 15 and Maroh 2 0/ fhe year the deduc6on is to be �
See reverse side la additional insWctions a� qualificafions.
JUN 1 0 �nnR
,�,�,� goe>
Pssessed ralue at real popaly as of March 7. airer� yrar
interesl?
-ioa -000. 0�5�,00
age / Contract indebtedness unpaid as M MarcF� 1
it yeayl� ` �
`� �79 U
If wmeE wiUi someone a
m recrord is difter�ait Nan that of applicaM, iMiple bdow:
Name af nar�qagee or contlacl seller
Address of rtpr�qagee ar mniracl seller (number and
O�IC! QNlIEf IX �IddCf W fll0l� J2 JC
Address o(assignee (mm6erand sfreet, dty, 9afe, and
Does applicanl own property fn arry dher
counry in Indiana7
❑Yes ❑ No
Deduction apprwed in Ne amount of:
p� � �P (1
a
state, aiM ZIP code)—
Dra�r�er 1�'0...�00')'
'�ON C6UN�T�Y AUD OR I P� [ V u�
�
Is Ihe applipnl Ihe sde legal d equilaWe owne/
❑ Yes ❑ No
spouse, irMicale wiN whom.
he property in quesUon:
Real Property ❑ Moale Home QC G7.1
Cardi
\O. ... i,io� Has�,�d�
• • • for wrrenl
�87,183, s?
20 � 20
Counry
20
Date (manN, day,
+�� o� woaem
❑ Yes � No
2�
I/ We cei6fy und�r he penalry of p��ury Ihat tlie above and foregoing infortnation is true and mrtecl and Ihat Ne appii�ants was I were a residenl of
Indiana and owner of the afwemenooned property on March 1, 20
paw.e (owqers hdl name) � /„ oate (manth. aar r��
�
Po.ver oflLLiomey or by IC 61.1-12-.07
Addre_ss of aulhor¢ed persa� (n�mber aM sGaet aty. state,
(mrnfh. daY. Y�/)