HomeMy WebLinkAboutMortgage_Russell (2)�^�* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION
� State Fmn 43709 (R8/ 2-07)
S�•�• � Prmrnbed by Department d Local Go�cmment Firurce
Coun Township Year
INSTRUCTIONS: I'
To be filed in person or by mad with the CountyAuditor o/ the county where the properfy is bwted. �
Fiing Dates: 1) Real Property: During the tt monfhs befare June 77 W the year fhe deduction is to be elfective. /�p p ZQ�$
2J Mobi7e Hames assessed under IC 6-1.1-7: BehLeen January 75 and March 2 0l the year fhe deductim i�'b Ee eflective.
See reverse side fa addifional insWctions aM qualifications.
�
ApQlicarrt(owner�m r- eere9ncG revarsg,Qle)
�� GIgSON COUNTY AUDI70
r o� e Ker o2L ie�ai deso,wb� _��l`�' %�J —Q� S� R«nb nQ lJ P�l `7 /
ralue of re� propaty az d Mardi 1. amvn ymr Mortgage[�orN-aG rt�debtedness unpaid as ot Marrh 1. Is Ue appGCant Iha sde legal a equiUde owneR
wnent �b. '1 �n S � S%�. vt�
❑ Yes ❑ No
of inter�tl
recad is d'Rferent Ihan Ihal of applirant
Name of rtnrtgagce or wN-ac1 seller
Address of mortgagee w mnlrad seller (number anE sGeef,pN.,sfate.
Hame of essgrrea or oU�er awna d hdder �
(ra�rtder and sGeeG dt_
Doas applicant own poperty in arry o�her
w,Hy N �oaar�ea
❑Yes ❑No
� �1.�
/
i,�i►
�
v� ine amaum or.
If owned wilh someone other Ihan spouse,
R:
3_6s, �5�. o0
Is Ihe praperry in
❑�R�I Prpperl
❑ Mobile Hane QC 61J-7)
1ud6n bem requesled on property
�n
❑ Yes ❑ No
zo o r — 20 —
� O.vL.
� a.. o p Fj _ ( 9 'I = �j �. d�p7 -0�
�enalty of perj nts was / were a resident of
: a(wementio (�
�-. n��4.�..�.t__ i--..� ac„nnN,aar.rea�
of applirant
by Euh acenited
Address of aulhor¢ed person (number eM sf�eet, dl}; slale. anE LP mQe)
(rtmN. daY•Y�A