HomeMy WebLinkAboutMortgage_Eberhard,<�*r:,•,. STATEMENT OF MORTGAGE OR CONTRACT
a3�=:� `; INDEBTEDNESS FOR DEDUCTION FROM ASSESSED
*T ' VALUATION State Form 43709 (1-90) Prescribed by the
� 's�• '� State Board of Tax Commissioners _
�
Instructions for filing:
To be filed in person or by mail with the County Auditor of the county v�.�here the
property is located during the 12 months before May 11 of ;he year the deduction
is to be effective. See reverse for additional instructions and qualifications.
or
Taxing District
Key Number/Legal Description
APR 3 0 �998
�
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 Ij,�ar�h 1, current year. equitable owner? O yes O no
.� 1 � ,-. _ 00
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:
��ne of mortgagee or contract seller
Address of mortgagee or contract seller
Name of Assiqnee or other owner or holder of
of Assignee
Does applicant own real property If yes, what county?
in any other county in Indiana?
e. p..o � t�., tC -
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount of:
19��
Signature.
is Q4"oo
� GOE
• �i � •_ � J.
m� OoY °
:s. , • :: .� ,
Secretary of Board of Review
Has this deduction been
requested on property for current
year? ❑ yes O no
1�ILQ.� I �' a°°
P�a t�e� T
Date
6 -/o-S�
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
�s w slwere a resident of Indiana and owner of the aforementioned property on March 1, 19
re (own s na Person authorized by duly executed Power of Attorney or
� �,,,/„ ��p�`j/,��.� by IC 6-1.1-12-.07).
Full Resident Address'qf Aplicant Address of Authorized Person
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