HomeMy WebLinkAboutMortgage_Craven (2).+�'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS , Town hi ear
r,, .: � FOR DEDUCTION FROM ASSESSED VALUATION
S1ate Form 43709 (RB / 2-07)
�° ;�,. � Presaibed by Department of Local Govemment Finance
File Mark
INSTRUCTIONS:
To be filed in person or by mail with tha CounfyAuditor o/ the county whe2 the property is located. � `3�� �
Filing Dates: 7) Real Property: Dunng the 12 months before June 71 0/ fhe year the daduction is to be elfec6ve. 0��
2J Mobile Homes assessed unde� IC 6-1.7-7: 8etween January 15 and March 2 0l the year the deducti�n��� ���, AUDITOR
See reverse side (a addilional instructions arM qualilcafions.
-see
in isUid Key nQmber / legal descriplion Remrd number Page number
�-� a� -�a -is -�oo -ooy. 3 �� - o � � o0 3
sessed ralue of real popa�y as af Mardi 1, amnt year MMgage / Contract indebtedness unpaid as of March 1, Is Ihe appfimnt Iha sde legal n equitade owne(1
anenlyear c/ .
� / r S (70� ❑Yes ❑No
'; what is his I her exad share of interesl7 If ownetl wAh someone olher Ihan spouu, iiWicate wi�h whom.
name m record is difrerent Ihan Ihat of applicanl. indimle beloa: Is Ihe property in queslion:
❑ Real Property ❑ Mobile Home (IC 61.1-7)
Name of rtangagce or conuact sellerl� - � y /
7/� < =%E? i!m�' �d
Ad�ress ot rta�Ugagee ar mnUacl sell2r (number a�M streel, dry, stafe, and ZIP cade)
Name of assignee w Wher a.virer or hdder at mortgege �
Address M assgnee (number aM sVeet. dry, stafe, aM ZlP ooDe)
applicant own property in any other If yea, what county7 VJhal Tacing
y in Indiana7
❑ Yes ❑ No
Oeduction
� 11.�� '���
-�,8�,r�,�yt'+o,.a. "�•''�C.
{ �.� .
Dra�ver \O..°� ..........
COl1NTY AUDROR
Card NO. ......3.%..........
20 20 ���� �io�$.�
Counry
. I Dale (manfh. daY.Yea�
I! We certfy und�f the penalry of pe ry that Me above and foregoing intortnation is true and cortect and tliat tlie appGcants was / were a resident of
Indiana and owner of the aforemen oned property on March 1, 20 _____. . r �
FuU resitlent atltlress of applicanl (number and s'`�et. crt�y. sfa iM LP catle)
�jO�j °` �L . CU�'h GL` (�J �/N L�
Person authonzed by duly ezeculed Power of Ntwney or by IC 61.1-7&.07
person (number aM sbaet, cdy. sfate. eM ZIP mde)
Dale (month, day yea�
Dale (mm1A. tlaY.Y��)