HomeMy WebLinkAboutMortgage_Hunter (2)ie�'A STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
'+i } FOR DEDUCTION FROM ASSESSED VALUATION
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-! SUte Fartn 43709 (R6 / SO6)
� Presvibed by Departmem of Loral Gwemment Finance
INSTRUCTIONS:
To be filed in person or by mail with the County Auditor of the county where the property is locatea — �
Filing Dates: 1) Real Property.� Dunng the 12 months befo2 June !1 of the yea� the deduction is to be eflectiv�r n� 7 2008
2) Mobile Homes assessed unde� IC 6-1.1-7: Between January 15 and March 2 0/ the year the d�f%L�tio is to be eNective.
See reverse side /or additional instructions and qualifications. � �
6
— � n _.....,..� � �u7Y AUDITOR
(owner
Taxing Distrid
Assessed value of real
March 1, curtent year
on rever;e side)
Key number / legal description
� o�l�lo
as of MoRgage /
March taa
rent year
000 (�
Record number ,
� ��
g �� Page number � ��
unpaid as of Is lhe applicant the sole legal or
ownef? ❑ Yes ❑ No
If no, what is his / her exad share of interest? � If owned with someone other than spouse, indicate with whom.
If name on record is difterent than that of applicant, indicate below: Is the property in question:
❑ Real Property p Mobile Hane pC 6-1.
�e of mortgagee or conVad seller n' n�
� � �J
Address of mortgagee or conVact seller (number and street, aty, state, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (number and street, city, state, ZIP code)
Does applipN own propert�.'--^�•��theC Jf yes, what county?
county in Indiana?
What Taxing Distrid?
i
Dra�►=er NO..d�,��f .. ���
)edudion approved in tl �C A� rC� 1\'��,��
ti! c�.eq
i %GG..G o
20 �� zo 0 2o zu �o
� P I
County Auditor
Has this deduction been requested on
property for wrrent yeaR � YesO No
zo
Date
zo
certify under the penalty of peryury that the above and foregoing intormation is lrue and correct and that the applicants was / were
lent of Indiana and owner of the aforementioned property on March 1, 20
Person authorized by
or by IC 6-1.1-12-.07
sivent aatlress of appllcant "� Address of authorized person
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