HomeMy WebLinkAboutMortgage_Kramer.+-.�"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
�, .; ?� FOR DEDUCTION FROM ASSESSED VALUATION ��
Slate Form 43709 (R8l 2-07) �
�0�,. -� Presc�ibed by Departmenl of Local Govemmenl Finance
`�\ File Mark
INSTRUCTIONS:
To be filed in person or by mail with the CountyAUditor of fhe county where the property is locafed. �
Fding Dates: 7) Real Property: Dunng fhe 12 months be/ore June 17 ot the year fhe deduction is to be eflective.
2) Mobile Homes assessed under IC 64J-7: Behveen January 15 and March 2 of the year the deducGOn is to be eflec6ve.
See raverse side /or addifional insbuttions arrd quali(cafions.
icanl(ownerdmnLa buyer-seere4iicfio reversesdej
_ �
Tapng isUid Keynumber/legal � cnplion
- ' "_.3° y_
Assessed value of real popsly as d Marth 1, narent year MMgage / nUaG'nc
artenl r
�, whal is his ! her rxad share of inte2sl?
If name on record is diReren� ihan Ihat of applicanl, indimte below:
Name of rtqrtgagee or conUatl selle! ly �,
Adtlress ot mortgagce «wnUaa selle,
Name of assignee a dher owrrer or hdder ot mortgage
Address of assignee (number an0 s4ee(. city, stete. aM ZIP oode)
Dces appliwnl o.m property in eny dher
caunry in Intliana7
❑Yes ❑ No
_�
as
number
If owned wM wmeona other ihan spouse. indiwle wilh
property in QuesGOn:
al PropeAY ❑ Mobile
❑ No
61.1
�Z,P�a> �(R �1 m ���,
T.Tln o�-� y —� .
A�G�t �
,�� �, T��9 o,s �� /.��.3 ;
tor artent yearr
❑Yes ❑ No
COUNTYAUDROR
Oeduction appmved in the amount of:
zo 9 zo _ zo _ zo _ zo zo zo _
Si9naW re of County Autlilor Couny Date (rtron(fi, day, yee�
I/ We certify under the penaly of perjury lhat the above and fwegoing infortnation is We and corred and that the applicants was I were a resident at
�ndiana and owner of the aforementioned prope o� March 1. 20
�aWr _ full na ) Dale (rrronN. Eay, yea�
♦ �!/l��G�
Fu0 residenl adCress of applicanl �(n�u 6er e sLeef. cd . state, aM IP e)
110Lv �'J'a ✓ � . .� v /o� �r 7l�,� 9
erson authorized by duy ezewted Power of fLLiwrrey a by IC 61.7-12-.07 Dele (mm1A, day, yee�
Address of aWhonzed persm (number aM sfreeL aty. sfate. antl ZIP cotle)