HomeMy WebLinkAboutMortgage_Hoskins4�'�T��E STATEMENT OF MORTGAGE OR CONTRACT
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� INDEBTEDNESS FOR DEDUCTION FROM ASSESSED County Township Year
VALUATION State Form 43709 (1-90) Prescribed by the
��' � State Board of Tax Commissioners
Instructions for filing: File Mark
To be filed in person or by mail with ihe County Auditor of the county where the �
property is located during the 12 months before May 11 of the year the deduction _• ����—�
is to be effective. See reverse for additional instructions and qualifications. SEP � � �995
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Applicant (O n r or con act buyer - se restri tions on reverse) `�
"._. ,:�!4�?`! di1DITOR�
Taxing District ey Number/Legal Description Record No.� CTC�
1
Q(� 3' �� � Page No.
Assessed value of real property as Mortgage/Contract Indebtedness unpaid Is the applicant the sole legal or
of March 1, current year _ as of March 1, current year. equitable owner? O yes �] no
If no, what is his/her exact share or interest? If owned with someone other than spouse,
indicate with whom.
If name on record is different than that of applicant, indicate below:
ame of mortgagee or contra sell r
ddress of mortgagee or contract seller
Name of Assignee or other owner or holder of Mortgage. -
Address of Assignee •
Does applicant own !eal property If yes, what county? What Taxing District? Has this deduction been
in any other county in Indiana? requested on property for current
year? � yes J no
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount of:
19 19�.Z' 1-��.D.�12 1� � d 19 � J.9'� .1-9 �ifi�
ov
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Signature _ Secretary of Board of Review Date
a���_�o og oQ
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
nts was/were a resident of Indiana and owner of the aforementioned property on March t, 19
nature (owner fu I name) Person authorized by duly executed Power of Attorney or
by IC 6-1.1-12-.07).
Full Resident ddress of Aplicant Address oi Authorized Person
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