HomeMy WebLinkAboutMortgage_Hunt.� °'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
.,: -
� FOR DEDUCTION FROM ASSESSED VALUATION
State Fartn 43709 (R8 / 2-07)
�9 ��w � Resrnbed by Depariment d Local Govemment Finance
File Mark
INSTRUCTIONS:
To be fi/ed in person or 6y mail with the CountyAudifor of the county where fhe property is located. A P R 3 Z 0 � 8
Fding Dates: i) Real Property: Dunng the 12 months be(ore June 17 of the yea� the deduc6on is to be etFective.
2) Mobile Homes assessed under IC 6-t 1-7: Behveen January 15 and March 2 of the year the deduclion is to_pe eflective.
See reverse side fw additional ins6uctions and quali(cations. �� ,Q/.�
6uyer
sde)
Tanng Dis/i � Key number / legal description
r�'�� a� -�3 -ao -�oo -
pssess¢d ralue of real poperty as of Ma�ch 1, ctarenl year Mwtgage I ConUact'v
anen� year '� '
is h¢ / her ezaG share
If name rn
indicale below:
Address of rtwM1gagee n miiir=ad seller (n�%iand sheel, aty. stale, a�M LPcode)
Name of assignee or dher owrier or holder oi mMgage
Address of assignee (number aM stmef, dty. stafe, and ZIP wde)
licant own qoperty in any oNer If yes,
Indiana?
❑ Yes ❑ No
Deduction
20
%41i
of:
3�� -oc
unpaid as of March 1
If owned with someone
Remrd number Page mimb�
�DD� �d.8
Is ihe appfinnt Ure sde legal w equi�ade owneR
❑Yes ❑ No
spouu, irWiw�e with x1wm.
Is Ihe property in question:
❑ Real Property ❑ Mobile Home (IC G7.
Dra��,er NO.,„�,�,�Q.[. .����
nCard NO. ... . ............ c�a
�'�'i c� L3 /1 �� 30, OC.� •
wne�r��c � --- r��r
�� �.yearr
I~ W c ❑ Yes ❑ No
)UNTY AUDITOR
20 20
Counry
20
20 _
I/ We certify under ihe penalty of perjury that the above and fwegoing infomiation is true and corteG and that the applinnts was I were a residenl of
Indiana and ovmer of the aforemen6oned property on March 7, 20
rq� Date (nwnih, tlay, yea�
�`oalure (owners hdl na// ) . /) _ - 1 .. / . . . y�
�I`7����: ���'
� Prlmn a nzed 6y duly exealed Prnver
stafe. antl ZIP wde)
w by IC E7.1-12-.07
Address of auitor¢etl person (number arnd sLee; aty, state, arM ZIP aode)
Daie (�th, day, yea�