HomeMy WebLinkAboutMortgage_Weber (2)STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDN�
FOR DEDUCTION FROM ASSESSED VALUATION n wnship Year
� ��� J Stata Fortr:43709 (RS 14-03) .
Ptasaibed by Department af Local Govemment Finance � AR 2 8 20 6
INSTRUCTIONS: ���'a� File Mark
To be filed in person or by mail with the CountyAudito� of the county whe2 the property i�d.COUNTY AUDITOR
Frling Dates: 1) Real PropeRy: During the 12 months be%re May 11 0/ the year the deduction is to be effective. '
2) Mo6ile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 of the year the deduction is to be effective.
See reverse side for additional instruc(ions and qualifications.
or confract buyer -
Taxing
Assessed value of real property as of
March 1, wrtent year
s�ae)
w�-,.-vv� ol(o'/.i-
Key number / legal descriptio� RE
�a—b �9 ea-o� P�
Mortgage / Contract indebtedness unpaid as of
March 1, current year
a�'s, �
- Ol3� �O o1-�711`
number
number
Is the appticant the sole legal or equitable
owneR ❑ Yes ❑ No
no, what is his ! her exacl share bf interest? I( owned with someone other than spouse, indicate with whom.
�iame o� record is different than that of applicanl, indicate below: Is the property in question:
❑ Reai Property ❑ Mobile Home (IC 61.
3me of morigagee o contrect seller � �^�
Address of mortgagee or contrad seller (nu r and st
Name of assignee or other owner or holder of mortgage
Address of assignee (number and street, city,
city, state, ZlP
code)
Does applipnt own properfy in any ofher I( yes, what county? What Taxing Distrid?
counfy in Indiana? - � �
COUNTY AUDITOR
Deduction approved in the amount of:
20' � 1 I 20
20 ��
�
County Auditor
20
Has this dedudion been requested on
property for current yeaf? 0 Yes � No
20
20
I/.We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicants was / were
a resident of Indiana and owner of the aforementioned property on Marcti 1, 20
Person authorized by duty executed Power of
or by IC 6-1.1-12-.07