HomeMy WebLinkAboutMortgage_CreedonE� °'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
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FOR DEDUCTION FROM ASSESSED VALUATION
State Fam 43709 (R8 / 2-07)
�O 1 Presaibed by Department d Local Govemment Firence J
��N
File Mark
INSTRUCTIONS:
To be filed in person or by mad wifh the CountyAuditor of the couirty whe2 Ure p/opeity is bcated. ���� �
Fding Dates: 1 J Real Property: Dunng the 12 monfhs befae June if d fhe year ffre deducfion is to 6e etfective.
2) Mobile Homes assessed under IC 6-i. f-7: Behveen January 15 and March 2 ot the year tfre ded ti i o b el/ t e.
See reverse side tor additional inshuctions and qualificafions. .
Applicant (ownerormnLad bvyej.�se� re4iiclionypn reverse sde) �'1 n Q 2 L
Tauig Dislrid Key rwmba / I
�b - l -19 -�
AaesseA value ot real papaty as d Maich 1, aarent yrar
'���J
name on record is ddtarerrt Nan lhat of applipnl, irWiple belo.v:
ame of mortgagee or carN-act seller
Address of mortgagee or mnlracl
shee(. dty. sTle. arM ZIP
Name of assi9rree w dhei owner w holder of mortgage
Address oi asv9�e (rpttMer ar�d shae; dty. slate. ard ZlP mde) "
Does applicanl own property in any oNer
counry in Indiana7
❑Yes ❑ No
Dedtxtion approved in Ihe amounl of:
20 0 zo
�
SynaWre of CounryAUtlGOr
of March 1,
� If yes. whal oounry7 I Wha1 Ta�dng Distrid7
C ��c.0o�, C'KAD A SaO-Oy—
�NT�'G�'A
,�.3/ oou � —
�OdB-33 / �
— i �«nn,
❑Yes ❑ No
spouse. �caie with whom.
Is �he property in 9�tim:
❑ Real ProceAV ❑ Mobile Home (IC 6-1.
Has this tli
For currenl
zo
requesled on poperty
❑Yes ❑ No
Dafe (mon/h, day, yea�
zo
I/ W oertify under the penalry of perjury that ihe above and foregoing infortnation is true and correc[ and tlut ttie applicanls was I were a residenl of
1 ana and owner oi the aforementioned property on March 7, 20
�a4uy,(pwnerslWlnaare) /� �� �
Oate (manlh, day, yea�
atldress
sGeef. city. state, and
Po.ver of Altarrey or by IC
of authw¢ed pe�sm (�umber arM streeC dty. s(afe, aiM LP mAe)
u
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