HomeMy WebLinkAboutMortgage_Ingler (3).w "•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
7°i��FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (RS / 2-07)
�°�;; � Presvibed by Depanmern of Local Govemment Finance
File Mark
INSTRUCTIONS:
To 6e filed in person or by mai! wdh the CountyAuditor o/ the counfy where Ne property is bcated. � MH� ] s 2��9
Filing Dates: 1J Real Property: Dunng the 12 months be/ae June 17 0l fhe year the deduc6on is fo be etlecdve.
2J Mobile Homes asse� ed under IC 6-1.7-7: Between Januery 75 and March 2 olthe year the deducb'on is t� jHecJive.
See reverse side fa additional insWctions and qualifications. �a N/��"�
� �_
�Appl¢ant(ownerormntradbuyer re , mreverses // GI �NTi�OII�T�'F��
� Key number I �al desaiplbn
�- 9- - �
real ProP as of March 1. arrenl ypr Mortgage I(
turtmt year
ezad
If riame m re�rd is diftererrt Ihan Ihat of applicanl, indiqte below:
Name of mortgagee or contract seller
Adtlress of rtaAgagee a canUad seil
Name of assignea or ather avner w 1
�erarM sVeet. dry, sfate. and
mortgage
Address of assignee (num6er aM sfieel. city, stefe. and 2
Does applicaN am properiy in any dher
wurriy in Indare?
❑Yes ❑ No
Deduction approved in the amount of:
�f� ��
W
-DOa. 333-L
lindebtedness unoaid as
Record
1, Is Ihe appGnnt the sde legal a equilahle amer
❑Yes ❑ Na
Nher than spouu, indicate wilh whom.
8Y� o�. oo l�/G.o9
�� ,e.t. Q�
V ' I�" ' /"�`^�y /�1 .
! `�
20 _ I 20
Counry
20
Is Ne property in Question:
❑ Real Property O Mobile Home QC G1.1
uestetl on prcperty
❑Yes ❑ No
20 20
�ata (monfA, tlay, yea�
I/ We ceriity under th enalry of pe u thal the above and foregoing information is true and mrrect and Nat the applicants was I were a
Indiana and owner of e aforementi propeAy on March 1, 20
;Wre (owner' /u name) Date (monM, daY Y��
r�%
u resid s ot applicam (number entl street. city. st�e. aM ZIP code)
aulhorized by duly
of aullnr¢eC pe+sm (num6er arM sLaeL raty, s(ate. aM ZIP mde)
Dale (monfA. tlaY.Y�A
of