HomeMy WebLinkAboutMortgage_Pflug (2)�
'7�
dl n STATEMENT OFMORTGAGE OR CONTRACTINDEBTEDNESS ` ' '
i� �} FOR DEDUCTION FROM ASSESSED VALUATION Count 7ownshi . Year
•. J State Fam 43709 (R6 / SO6)
� Presaibed by Department of Local Govemment Finance
iNSrRUCr�oNS: OCT 1 2 2007
File Maric
To be (iled in person o� by mail with the County Auditor o( the county where fhe property is located. '–y�� �
Fifing Dates: 1J Real Property: Dunng fhe 12 months 6efore June Il of the year the deduction is fo be e!/�i4
2J Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 0/ th��j��ljoqt�fd0@ efiective.
See reverse srde for additional instructions and quali(cations.
or cont�act
on
Taxir�,Dist' �� Keynumber/lega d�¢
l� � //
Assessed value ot real property as of Mortgage / Contrad ir
Marrh 1, wrtent year March 1, curtenl year
If no, what is his / her exad share
If name on
than that of applicant, indicate
moRgagee or conVaG seller
Record number
Page number
unpaid as of I Is the applicant the sole legal or
ownef? ❑ Yes ❑ No
010,0,� �
If owned with someone other than spouse, indicate with whom.
Address of moAgagee or contrad seller (number and street, ciry, state, ZIP
Name of asaignee or other owner or holder of mortgage
—
Addr— - — - - P code)
..
— Dra��`er NO���%: ? ""' A��
Does �y?
counl
What Taxing Distric[?
.�w�a .......
....... ...... o�
���5�'�� COUNTYAUDITOR
Deduction approved in the amount of:
20�� 20 20
P P
Signature
�
County Audilor
20
s the property in question:
❑ Real Property ❑ Mobile Home pC 6-1.
Has this dedudion been requested on
properiy for current year? � Yes � No
20
20
certify under the penalty of perjury that the above and foregoing infortnation is lrue and corred and that the applicants was / were
lent of Indiana and owner of the aforementioned property on March 1, 20
��
�
duty executed Power of Attomey
or by IC 6-1.1-12-.07
of authorized person