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Q j°:�o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
-�._,_. � FOR DEDUCTION FROM ASSESSED VALUATION I
S• � Sfa;e Fwm a37091R11 / 6-09)
�",,,, � PrescnEed by DeOartment W Local Govemmem Financa
INSTRUCTIONS: File Mark
To be filed in person or by mail. A filetl i
Filing Oates: i) Real Pmparty Mutf 6e wmpleted and dated in fhe calendar year tor which fhe deduction is sought.
Mutf 6e fifed wifh the Counry Audifor or Counry Recortier of [he county where fhe prope/ry is located C ounry Auditor
on or before January 5 0! fhe immediatety succeeding calendar year. o ry Recorder
2) Mo6ile / Manulac(ured Homes nof assessed as Real Property: Must file wifh the Counry Auditor o/ the
county where tAe property is lowted dunng the nvelve (12) monihs before March 37 o/ each yea�SON COUNTY AUDITOR
deduction is sought.
See reverse side lor adtlitional inshucGOns and qualifications.
AppGCant (owrrer w tonUacf 6uyer- see resbktions m reverse siCe)
JASON S SPINDLER AND LYNN R SPINDLER
Ta�dng Disfid Key number I la9al des`ripibn RecarE number Page number
HAUBSTADT 2G7&�464-000.329-009 11 �
��a �an,e w��cem a� or MMgage / Con✓aa indebtedness unpaid as of Mortgage / Con;raU i�Mebtedness unpaiE as ol Is ihe appfirant ihe sde
�Marth 1, aurentyear Mamh 7, curtent year tlate of app�fation legal or equitade owneR
66,820 145,540 148,000 ❑� Yes ❑ No
Ii no, what is his / �er ezact share of interest? I( wmeE wiN sameone oNer ihan spouse, indicate wiN whom
If name on recad is tli9ereni Nan Nat ot app6pnt, intliwte bebv( Is Ne propeRy in question: MnuaDy Assessed
�❑ Real Pmperty ❑ MnuallyAssessed
Mabile Home (IC 61.1-7)
Name ol rtrortgagee ar conVaa se0er
ALLY BANK
ACEress of rtwrtgagee w contract seAer (number aM sUee4 crty. sfate, eM ZIP code)
1100 VIRGINIA DRIVE FORT WASHINGTON PA 19034
Nama of assignee or oNer owner or hdCer of rtangage
AEEress of assi9nee (number antl street. dry, sfare, arrd Z!P wde)
Does appGCant am Oroperty in any oNer If yas, what counry9 Whai Ta�ting DistriU4 Has this EeCUCtion been requested on property
counry in trW iana? tor wnent yeaY!
❑ Yes ❑ No ❑ Yes ❑ No
COUNTY AUDITOR
Deduction approveE in Ne amounf o@
20 20 _ 20 20 _ 20 _ 20 _ 20 _
S"gnawre of Couny Auait r Counry Date (monrh, day, year)
I I We ceNfy under �he penalry of pe - that the abo and foregoing infortnalion is Wa and cortec[ and that the applicant is a resident of Indiana and
owner / wnVacl buyer ot Ihe a(orementioned property on date application is filed.
� yn W (owne/s (ulsame) �� ^ ' Date (monN, tlay, yea�
S � V C7 i �1' osizanoti
F W r Went address ol a pfipnt (number a� 5Lee4 dry. stafe, and ZIP cade)
11 S WEST ST HAUBSTADT IN 47639
Person auNorizeC Dy Cuty executetl Power of Attomey or by IC 61.1 �12-0.7 Data (month, day. yea�
Atldress of au'Jwr¢ed Derson (number ar�C s;reet, aty, state, aM Z/P code)