HomeMy WebLinkAboutMortgage_Spindler (3)s�� � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
i' = FOR DEDUCTION FROM ASSESSED VALUATION
'«• J Stete Fwm 43709 (R6 / 5-06)
� Presaibed by Deparlmenl of Loral Govemment Finarxe
INSTRUCTIONS:
To be �led in person or by mail with the County Auditor of the county whe�e the p�opeRy is located.
Filing Dates: 1) Real Property: Dunng the 12 months befoie �une Il of the yea� the deduction is to be{�P�ti}e.s Z���
2) Mobile Homes assessed unde� IC 6-1.1-7: Between January 15 and March 2 0( the year the deduction is to be effective.
See reverse side for additional insWc6ons and qualifications. �'/fa� �Q �
_ dIB�ON COUNTY AUDITOR
Applicant (owner o ntract buyer - see restrictions on reve�se side) -
Taxing District Key number / legal description Record number �-7
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y�/ j� . ln�•r{y� �l /J�' �6 —� - 3��3� �, o� Pa e number ��� /
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Assessed value of real property as of Mortgage / Contract indebtedness unpaid as of Is the applicant the sole legal or equit�
March 1, current year March 1, current year owner? 0 Yes � No
OD1 ��"�
If no, what is his / her exact share of interest? If owned with someone other than spouse, indicate with whom.
narne on rewrd is difterent than that of applicant, indicate below:
of mortgagee or contract seller
of moRgagee or contract seller (number and street, city, state,
assignee or other owner or holder of mortgage
Address of assignee (number and street, city, state, ZIP code)
Does appliqnt own property in any other
county in Indiana? �
Deduction approved in the amount of:
It.w-! � � ynty?
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2O O l I 2O �� 2C �_ LV _
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>ignature Counry Auditor
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What Taxing District?
AUDITOR
20
propertyforcurrentyear?
20
Date
20
1-
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I/ We certify under the penaity of perjury that the above and foregoing infortnation is We and correct and that the applicants was / were
�sident oi Indiana and owner oi the aforementioned property on March 1, 20
ar by IC 6-1.1-12-.07
4ddress of authorized person