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Home My WebLink AboutMortgage_Hedges (5),.• ^,'.n /� � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS j\i' ��Y ;,'= FOR DEDUCTION FROM ASSESSED VALUATION Townshi Year \•.- y State Fortn 43709 (R6 / 5-06) « Presoibed by Depariment of Loml Gwemrtrent Finance � , � DEC 1 5 2006 INSTRUCTIONS: File Mark To be filed in person or by mail with the County Auditor of the county where the property is located. `�j� � Filing Dates: 1J Real Property: Du�ng the 12 months befo2 ,lune �l of the year the deduction is [o be �K�t�i . /�p�, 2J Mobile Homes assessed unde� IC 6-1.1-7: Between January 15 and�rch 2 of f@��tQg�"�tjpp��re eflective. See reverse side !or additional instrvctions and Appticant (owne� or contract buyer- see resMcfions ori verse s' • `� Taxing Distrid Key numbe egal description Record number �� (�� O �� °1� ��' / b�� Page number � ` � � Assessed value of real properiy as of MoAgage / Contract indebtedness unpaid as of Is the applican�� . �at or equitable March 1, curzent year March 1, currenl year owner? s L'� aa��oa� If no, what is his / her exact share of interest? If owned with someone other than spouse, indicate with whom. If name on record is different lhan that of applicant, mortgagee or contred below: Address ot mortgagee or conVad seller (number and st2et, city, state, ZIP Name of assignee or other owner or holder of mortgage Address of assignee (number and street, city, state, ZIP code) Is( the properiy in question: �--KKeal Property ❑ Mobile Horne (IC 61.1-� rt • ��r�o— Does applicanl own property in any other If yes, what counry? What Ta: D Ya ��er NO.. �Q�,�Q, ,,,,.. county in Indiana? Card NO. . 7l?„�J�„� �r,,,,_,�`,`��ID r1Gb. � . COUNTY AUDITO `^�"�0.�pat � � Deduction approved in the amounl of: 20 �� I 20 � P Signature 20 �� 20 20 P County Auditor 20 20 d on ❑ No We ceAify under the penalry of perjury lhal lhe above and foregoing information is true and coRect and lhat the applicants was / were resident of Indiana and owner of the aforementioned property on March 1, 20 1u11 � � �� Person authorized by duly exearted Power of Attomey or by IC 6-t.t-12-.07 person