HomeMy WebLinkAboutMortgage_RhodesN'�' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
: FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
S �� J State Fofm 43709 (R4l 70-O7J � � �'� �• � �j�
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� Presaibe0 by DepaNnent of Local Govemment Finance q q
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wsrRUCr�oros: MAR 0 7 200��1e Mark
To be filed in person or by mail with fhe County Auditor o/ the county where the property is� l�ocated. �/
Filing Dates: 1) Real Property: During the 12 months belore May 11 0l the yea� the deducGon is to be.�ffectiGe. � D
2) Mobile Homes assessed under IC 61.1-7: Between January 15 and Maic�31`��(��e�ar�th�e deducUon-is to be effective.
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See ieverse side lor additional instructions and qualificafions.
ica t(owneror n ct buy r- ee strictions on re rse
Taxin District Key number / legal description Record number O/
�OCL � O � 1 / ./1 %� Page number / � � �
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Ass sed value of real property as of Mortgage / Contract indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, current year March�rrent year �f, D owneR ❑ Yes ❑ No
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If no, what is his / her exad share of interest? If owned wifh someone other than spouse, indicate with whom.
If name on record is different Ihan that ot applicant, indicate below: Is the property in question:
❑ Real Property ❑ Mobile Home (IC 61.1-�
�me of moAgagee or contrad seiler
Address of mortgagee or conlract seller (number and st et, city, state, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (number and st�eet, city, state, ZIP code)
Does applicant own property in any other If yes, what county? What Taxing Distrid? Has this dedudion been requested on
county in indiana? property for current yeaf? � Yes � No
COUNTY AUDITOR
Deduction approved in the amount of:
zo � zo Zo zo � 20 0 7 Zo _�� Zo �
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Signature County Auditor Date
��/ We certiy under ihe penalty of perjury that the above and foregoing infortnation is lrue and correcl and lhat the applicants was / were
resident of Indiana and owner of the aforementioned property on March 1, 20
Si nature (avners (ull na e Person authorized by duty executed Power of Attomey
or by IC 6-1.1-12-.07
F I res' ent address of applicant Address of authonzed person
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