HomeMy WebLinkAboutMortgage_Powell"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
State Fam 43709 (R8l 2-07) .
�� ,,,� '� Presmbed by Departmenl of Loral Govemment Firiance
File Mark
/NSTRUC710NS:
To be filed in person or by mad wifh the CountyAuditor of the county where the pioperty is located. � �f N I% Z Q � 8
Fding Da(es: 7J Real Property: Dunng the 72 months before June 77 W fhe year the deduction is fo be elfective.
2) Mobile Homes assessed under IC 6-7.7-7: Between January 75 and March 2 0/ the yeai the deduc6on i51p be efiecfive.
See reverse skie for addtional insWctions a� qualifications. �� ,Q�
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real popaty as d Marrh 7, arrent ya3r
Ihan Ihal aFapplicant indiple below:
Name of rtartgagee or conUact seller
Address of moAgagee or oonUad seller (number a�
a alher avner w hdder of mwtga9e --
(mmibelarMs4eet rity, stafe. and
Daes applicant own property in arry o�her
counry in Indana7
❑Yes ❑ No
Convacl
state. aM
as of March 1,
Drawcr \io.aa�8:as.7i
. 1 � _ .
G.`1["(1 �r0. ......' :.............
.� .
aPDroved in Ne amwnl of: > ��a �, � /� � � �� �' ��d�� ��
�-,��.—n �—
v
pp �� ' p ( 20 _ I 20 I 20
Counry
IS V18
spouse. �cale wiih wMm.
N EOV1�3a8 QVlIC�
❑Yes ❑No
Is Ihe property in quesUOn:
❑ Real Pmcertv ❑ Mobile Hwne OC 67.
jduqion been requested on properry
yeaR
❑ Yes ❑ No
20
20
I/ We certify under the penally of perjury ihat Uie above and foregoing infomiation is We and mrrecl and tliat tlie applionts was I were a resident of
Indiana and owner of Me aforementioned property on March 1, 20
aWror¢ed
by IC 61.
pelsdi (n�mbei arrd s4ee{ aty. sfafe, arM
Date (monfh, day, yeaQ
�ate (mmih, day, yea�