HomeMy WebLinkAboutMortgage_Hoffhaus� s,..E e
�
�
STATEMENT OF MORTGAGE OR CONTRACT
INDEBTEDNESS FOR DEDUCTION FROM ASSESSED
VALUATION State Form 43709 (1-90) Prescribed by th�
State Board of Tax Commissioners �
Instructions for filing: ���
To be filed in person or by mail with the County Auditor of the county where 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 (f1�vr�er or
Key Num
_
Filin fee $1.00
County Township Year
Record No.
File Mark
���,
� , - � �/ Page No. • .!
Assessed value of real prop rty�as Mortgage/Contract Indebtedness unpaid Is the applicant the sole legai or
of March 1, current year � as of h 1, current year. equitable owner? O yes �] no
� "�soo
If no, whai is his/her 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
of mortgagee or contract seller
Name of Assignee or other owner or holder of Mortgage.
Address
Does applicant own !eal property If yes, what county? What Taxing District? Has this deduction been
in any other county in Indiana? requested on property for current
year? �� yes O no
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount of:
19� 19�p07` p� t' �Q,� ,QD�,Pi
.��rn � 4 1_• �°� /_ ,,� _n�
r��'
�
: i/
Secretary of Board of Review
1�8'�� �
Date
ZcoCF
IlWe certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
�nts waslwere a resident of Indiana and owner of the aforementioned property on March 1, 19
nature (owners full name) Person authorized by duly executed Power of Attorney or
'l�} , i/� ,.,/� � by IC 6-1.1-12-.07). _
Address of Apli�nt � Address of Authorized Person