HomeMy WebLinkAboutMortgage_Kunwar°'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
State farm 43709 (R8 / 2-07)
�' � 1 Presrnbed by Departmenl of Lacal Govemment Finance
f�(
INSTRUCTIONS:
To 6e filed in person w by mad with fhe CountyAuditor o/ fhe county where fhe pioperty is located.
Fding Dates: i) Real Property: Dunng the 12 months be(ore June 11 0! fhe year the deduction is to be eReclive. �Vi/�Y 2 1 2 Q Q$
2) Mobile Homes assessed under IC 6-7 J-7: Bahveen January 15 and Maich 2 of the year the deduction is to be eflec6ve.
See reverse side (a additional insWCtions and qualificafions. `—y�.,
O�la�., .�i/�at,
n7ad buyer
�
�-
property as c
m reverse
� ��, �� �;,��
- I - .g
di 1. wrml year Morlga9e I Contrad
artent year � n
I' �t is h's / ha ezad share af irrterest?
If reme on record is d'Aterent Ihan ihat M appl
Name of mortgagee ar cmlract seller
Address of moAgagee w cmUad seller (num,
Name of assignee a otha onr� w hdder of
Address of assgnee (num6er aIM sGeef, dty,
�ces applicanl own property in arry olher
cowLLy in Intliana?
❑Yes ❑No
Deduction appmved in Ne amaunt of:
20 (1$ 20
��
Sivreture af Counlv AudOOf
4ieQf.
. �� � R o
� paid of March 1, Is Ihe appGOnl lhe
, I � ❑Yes ❑ No
If owned wdh someane dher Uun spouse, irM'icaie wi�ft whom.
Is 1he propeM in question:
❑ Real Prqperty ❑ Mobile Home (IC 61.1
� �, J� bceri reques�ed on poperty
� ❑ Yes ❑ No
I I We �rtify unde the penalry of perjury U
Indiana and o of Me afwementioned E
�reLUe (_ ow / s e)
�a`i
derrt a / s of applicarrt (numbe� and sGee
% J�� Cl W ' C �'1PTr� �� �
� n aWha¢ed by duly erzeated P r ot lLLtnrr
Addiess of auihoraed persan (numbei arM slree; �
//1 V . � �� � . � �i nlh. daY. y��
�. O�
20
was / were a resident of
n(h, day,
Y�A