HomeMy WebLinkAboutMortgage_Julian.! °•'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
,. � FOR DEDUCTION FROM ASSESSED VALUATION
Slate F«m 43709 (RB / 2-07)
�' ; 1 Resrnbed by Depar�rrient d Local GovemmeM Finance
File a
�NSrnucnoNS:
To 6e (led in person or by mail with the CountyAuditor o7 the county where the property is located.
Fding Dafes: 7) Real Properfy: Dunng the 72 months belore June il ol the year fhe deduc6on is to be e/fec6ve. qn
2) Mobile Homes assessed under IC 64.1-7: Behveen January 15 and Ma�ch 2 0( fhe year Ure deduc6on i�� �/e�ti�41��
See ieverse side /or additional inst(vctions arrd qualificafions.
Applicanl(owner
� yfe'� number / legal� i a- �� -a a�-00% �l9-c�7 Remrd nu �� P� � 0[
v A
rd paperty as N Mardl 1. anent yea� Mortgage �t2c1 i�ebteAness unpaid as af March 1. Is Ihe app5fanl lha sde legal a equilade owru
fLR0f1� VC
exacl shara af interest?
m rcr,pd is AiRerent Ihan Ihal ot applinn4 inditate below:
mrnlgagee m conUad seller
rtwrtgagce or conuaa
w
aridsbeeL dty, state. erd ZlPmda)
Dces applicant own property in any dher
caunty in Ind�anal - -
�
Dra��•er NO..'..°.�.�......
387U
Card NO . .....................
�c'�-o
v�.�� �►�'8��-m
0
.�S�Ob(� ❑Yes ❑No
aM ZIP rode)
ves. what muntv? . .
�
If o.w�ed wiUi sort�r,rone dher lhan spouse.
ca,�ry
zo
Is Ue property in quesUm:
❑ Real Propeny ❑ Mobile Home (IC 6�1.
Has lhis deducliwi been requesled on property
iOf CURCIIi y22(7
❑ Yes ❑ No
zo_ � zo
1 I We certify under the penalty of perjury that the above and foregoing infortrwtion is We and cortect and that the applicants was I were a resident of
Indiana and owner of the aforementioned property on March 1, 20
�nalure (owne/s NI name) - . Date immN. daY• Y��I
� ,,.._ �_ . Q _ _ Q i�— n�
D I �., loe N.9-t%<
d by duy ezealed of Atinmey a by
Address of aulld'¢ed person (num6er aiM sbeel. city, stafe, aiM ZlP code)
o � �L_ �-( 7 ` 7 c7
Dale (manih, day. yea�