HomeMy WebLinkAboutMortgage_Maurer (6)/d�"� e STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
j\d�°��, FOR DEDUCTION FROM ASSESSED VALUATION Count Township Year
`'� �• State Fortn 43709 (R6 / 5-06)
� Aesaribed by Depariment of Lo�i Govemrtrenl Finance
INSTRUCTIONS: � � � �M�fk 8
To be filed in person or by mail with the County Auditor o/ the county where the property is /ocaf �f�
Filing Dates: 1J Real Property: Dunng the 12 months 6e%2 ,lune 11 of the year the deduction is to be eflective.
2J Mo6ile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 0/ the year��� d�d�tl�� to 6e eflective.
See reverse side for additional instnictions and qualfications.
Applic �wnerorcontract
Taxinc� d
, �J�t�-3s� . - -
Assessed value
March 1, curren
restrictionsRn reverse side)
� number / legal description
�t3-/o -300� 0l96. 69y
@I�@�N
Record number
^ oO� � _D�,\ Page number ^ / 0
V �%
--'--�"-'ebtedness unpaid as of Is the applipnt the sole legal or
ownef? ❑ Yes ❑ No
qg - � �o�
If no, what is hi:
If name on recc ' — ' �/ ��� ��
me of mortg � 0 � " �
Address of mo v� �� �n �. ����
� ds� wo�
Name of assig
Address of assignee (numoeren� „����, u.,, ..._ _, _.
owned with someone other than spouse, indicate with whom.
1
e. ZIP
Does appliwnt own property in any other If yes, what county? What Taxing Distrid?
couniy in Indiana?
Deduction approved in the amount of:
20 O,Z I 20 Q�
COUNTY AUDITOR
20�'� 20 20
County Audftor
❑ Real Property ❑ Mobile Home pC 61.1
Has this dedudion been requested on
property for current yearl � Yes ❑ No
20
Date
20
We certify under the penalry of perjury that the above and foregoing information is true and corred and that the applicants was / were
resident of Indiana and owner of the aforementioned property on March 1, 20
�n re ners full n�npej �-7�� Person authorized by duty executed Power of Attorney
�•.r � or by IC 6-1.1-12-.07
iTl resid address of applicant Address of authorized person
a OO S �� �l� �