HomeMy WebLinkAboutMortgage_Kendle.t�^n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS I To s ip Year
=f _ FOR DEDUCTION FROM ASSESSED VALUATION
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SUte Pam 43709 (RB I 2-07)
'� .� Presmbed by DepaMmenl of Local Govemmenl Finance
File Mark
INSTRUCTIONS:
To be filed in person oi by mad wdh the Courrty Auditor ol tha county whe/a fhe property is located. `�'y/ �
Fding Dates: 1) Real PropeAy: During tfre 72 months be/ore June 77 0/ the year the deducLon is fo be e!(ective. o�`
2) Mobila Homes assessed under IC 6-1.7-7: Between January 15 and Ma2h 2 oI the year the dedu����(� ��[i�eAUDITOR
See 2verse side /a additional insWc(rons and qualilcations.
m m�Lad
reverse
gDisirid Ke�number/legaldesaiplion Remrdnumbei Pagenumber
a� -�3 -- voo-o�. 3Y3 - o0 2-�oS 2�3z
sed value o( real poperty as oi Mardi /, arrent ywr Mortgage / ConVacl indebiedness unpaid as of March 1, Is the appfi�ant Ihe sde legal or equitaHe wme(1
anenl yaar
,IjOO �Yes ❑No
whal is his / F�er e�wct share af in�eresl? If owned wi�h mmeone dher lhan spouse, inditate wiN whom.
record
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AtlOress of moRgagee m mnirad seller (num6ra arM s7ee(, tity. sla(e, arrd
Name of assgriee a ather owner w holder af mortgage
AtlOress of assigrree (monber arM sfreel,
Dces applicaM awn pmperty in any o�her
wunry in Indiara?
❑ Yes ❑ No
Deduction appmved in the amount of:
�� I
Sig�W re of Caunry Autlilor
If yes, wha� counl�
r�
Is Ihe property in question:
❑ Real Property ❑ Mobile Home
Drawer N �D �y •/� • ^
Whai Ta<in •" `�� �1 nY
� Card NO . ..................... ao
COUNTY AUDITOR ��U� �� lj SO� . O O =
20 _
Counry
20
20
Dale (mmth. tlay, yea�
�
I/ We certify under the penalry of perjury tliat the above and faegoing infomiation is We and mrred and thal ihe applipnts was / were a residenl of
Indiana and owner oi fhe aforementirned property on March 7, 20
SignaWre(owners/Wlnartre) . �l _ Dale(monih.daY.Y��
of applicanl (numbea antl sLeet cily. sfate. arM ZIP oode)
i (05o F �r�3�nc��s e o, Z/�,
duty execuled Power of Ntomey w�y IC 61.1-12-.07
Address af aullor¢ed person (nwnbe� and sheet dty. state,
7
aay, rea�