HomeMy WebLinkAboutMortgage_Alden (3)� � �
.•,=—•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
r,, ., � FOR DEDUCTION FROM ASSESSED VALUATION MAR 1
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Slate Fartn 43709 (RB / 207)
��; • Presaibed by Departmenl of Local Govemment Finance �
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INSTRUC7IONS: Ql�t)ON CDUN
To be filed in person oi by mad with Ne CountyAudifor o/ the counfy wAere the property is located. �
Fding Dates: 1) Real Property: Durrng the 12 months before June 11 olthe year fhe deduc6on is to be ef(ec6ve.
2) Mobile Homes assessed under IC 6-7.7-7: Behveen January 75 and March 2 o/the year tf�e deduction is to be eAective.
See reverse side fa additional insWctions arW qualifications.
Applicanl er w mnhaa 6uyer - see rc m�v sde) D ^^ .
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T'rg isUic7 ey number I I al desaiption Rem Pa ber
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ralue of real papaly as of March i, curtenl ymr Mortgage IC�b ac1 indeWedness unpaid as of March 1, Is Ne appGrant Ihe sde legal a equitaMe ownefl
anrent a�l �W
❑Yes ❑ No
�, what is his! her exacl share of iirieresl? If owned wM someane dher than spouse, indiwte with whom.
If name m record is diRerent Uan ihat of applicant, indipte below: Is Ue property in question:
❑ Real Property ❑ Mobile Home (IC 61.1-7)
Name of mortgagee or conUact seller
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Address of rtprtgagee w conUad seiler (num6er antl sMeef, tity, stafe, a�M ZIP cn0e) �
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Name of assignee or dher owrier or hdder of mortgage
Address of asvgnee (number aM sfieet city, stafe. aiM ZIP code)
Dces apd�nt own property in any olher If yes, what counry? Whal Taxing Districl7 Has lhis deduGian been requested on properiy
counry in Indiana? fw curtenl yeaR
❑Yes ❑ No ❑Yes O No
Deduction approved in lhe amour�t of:
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COUNTYAUDROR
20 _
Cauny
20 _ I 20 _
Data (monfh. daY. Y��
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I/ We cerufy under the penalry of perjury that the abwe and toregoing intormation is true and correct and that the appli�ants was / were a resident oi
Indiana and ovmer oi the aforemenfioned property on March i, 2b
�52
authorized
s4eet. stale. aM ZIP cotle)
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ltomey or by IC G7.1-72-.07
of aulhor¢eE person (numbei aM streeL dty. state. arrd LP wde)
Date (monN. EaY. Y�A
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