HomeMy WebLinkAboutMortgage_Angermeier.+^•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
.;ia�S� FOR DEDUCTION FROM ASSESSED VALUATION
State Fwm 43709 (R8/ 2-07)
°�; � Presvibed by Depanment of local Govemmeni Finance
INSTRUCTIONS:
To be filed in person or by mai/ with fhe CountyAuditor o( the county where fhe property is located.
Fding Dates: 7J Real Property: Dunng the 12 months be/ae June 17 0/ fhe year fhe deduc6on is to be efFec6ve.
2) Mobile Homes assessed under IC 6-1.7-7: Behveen January 15 end MarcA 2 0/ the year the deducti��� b� A�eQ�
See reverse side la addifional instiuctions and quali(cations.
I Apqican ei w mnLad buyer - see -'ons m reverse sde) � �� _.
. �
v
'I Tap Di � Key number I legal d ption 1
'� _ � � _ Q J � Q D
number
' value of 2al popery as d Marth 1, ammt year Matgage / Conira�t ind edness unpaid as of March 1, Is �he app6pn� Ihe sde legal or equitaNe owne/1
wnenlyear /
�� CO _� ❑Yes ❑No
exaG
on recorE is
Name of rtwrtgagee or cmUact seller ��/ // a�
i �lC.� y
Address of mortgagee a mntratl seller (num6er and SLee4 � afe, arM .
Nartre of auignee w olher owirer or hdder of mortgage
Atldress of assignee (number arrd streef, dty, ffife, aM ZIP cotle)
Does aPP��nt own property in any olher If yes, whet county7
wunry in Indianal
❑Yes ❑ No
the amount of:
� i � � •�i� "�'i��
mmeone ather than spouse,
Pr��Y
�tTexingDisUiUT_ � _I.He^•"'
A''�A�y� �
COUNTY AUD,
�,mr �
�°- 05-���(�
ca,�n
❑ Mobile Hmie
>tetl on property
� Yes ❑ No
_., ,.dr. r�d
20
� I
I We certiy under lhe penalty ot perjury tlial the above and foregoing information is � �e and cortect and that the applicants was / were a resident of
1 d�ana and owner of the aforementioned property on March 7, 20 .
Sig re (ow e /l ') Date (monN. daY. Y�A
reside adtlress of appl' 1(numbe� end shee . cdy. state. aM ZIP code)
o w- wt�a0.�l� c ��S �d-I �N ��3�
Person aulhonzetl by duty executed Power of N�nmey or by IC 61.1-12-.07 Dele (manfh, tlay, yea�
AdEress of aulhor¢etl persan (number and s7eeL dly. sfate, arM ZIP code)