HomeMy WebLinkAboutMortgage_Wisnoski�;.^'"o STATEMENT OF MORTGAGE OR CONTRACT
a�A� INDEBTEDNESS FOR DEDUCTION FROM ASSESSED
.:
' VALUATION State Form 43709 (1-90) Prescribed by the
State Board of Tax Commissioners
�,.
Instructions for filing:
To be filed in person or by mail with the County Auditor of the county H�here the
property is located during the 12 months before May 11 of the year the deduction
is to be effective. See reverse for additional instructions and qualifications.
Applicant (O�ui
���
Taxing District
r- see restrictions on reverse)
O-SKI
Key Number/Legal Description
fee $1.00
I� �.A�° � i �� � I . �i '`� —
.� Y_ . _ —
File Mark
F c�3 "� � 1999
�' F r
� `--+'� f' • � :
r�, �^
C,R"�
Record No.
Gc1di I ��7-��7�%—!�d IPageNo.
A ss essed value of real propert�as Mortgage/Contract Indebtedness unpaid Is the applicant the sole legal or
of March 1, current year as of March 1, current year. equitable owner? � yes ❑ no
/� S' e-�—z)
If no, what is hislher exact share or interest? If owned with someone other than spouse,
indicate with whom.
If name on record is different than that of applicant, indicate below:
of mortgagee or contract seller
�c�ss
Address ef mortgagee or contract seller
Name of Assiclnee or other owner or
of Assignee
of Mortgage.
� ; i. /��2 T�
c-
-���ra
Does applicant own real property If yes, what county? What Taxing District? Has this deduction been
in any other county in Indiana? requested on property for current
year? O yes O no
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount of:
i
Signature
o�D46 0
19 1,tN/ ( � 1
,a oo� -�
�' / /
q,uil ���5-�-� I �7l1/)U!1
Secretary of Board of Review
Zoo9-P
19
Date
���,
IlWe certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
ts was/were a resident of Indiana and owner of the aforementioned property on March 1, 19
nature (owner full name) Person authorized by duly executed Power ot Attorney or
�/ , � _ / by IC 6-1.1-12-.07).
I Resident Address of Aplicant I Address of Authorized Person
iZ ft � Ro,� �z4c_