HomeMy WebLinkAboutMortgage_ParnellESi�iF4 STATEMENT OF MORTGAGE OR CONTRACT
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a���sy : INDEBTEDNESS FOR DEDUCTION FROM ASSESSED
� VALUATION State Form 43709 (1-90) Prescribed by the
s State Board of Tax Commissioners
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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.
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App ant (Owner or ontract buyer - e restrictions o verse)
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Taxing Dis rict Key N mber/Legal Description Record No. n�
00 6- O l og' /-av "�
� P�" J"r-�-�0 S• y2 Page No. oZ� �
Assessed value of real property as Mortgage/Contract Indebtedness unpaid Is the applicant th� �ole legal or -
of March 1, current year as of March 1, current year. equitable owner? r,i(yes O no
� 30- 3avoo 00 00� �'
If no, what is hislher 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:
"�me f mortgagee or contract seller
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Address of m rtgagee or contract seller
Name of Assignee or other owner or holder of Mortgage.
Address of Assignee
Does applicant own real property If yes, what county? What Taxing District? Has this deduction been
in any other county in Indiane? requested on property for current
year? O yes O no
COUNTY BOARD OF REVIEW ACTION
Deduction approved i� the amount of:
19 93-9y 19_��� 19� 19 DO,, 1�_Op�Be(�i 1�9-_� 1�9 00
�SL'%b.0� �.ao-Oa- Pi'"ft8a�
Signature Secretary of Board of Review Date � Qo g� �
6 �30 -9�'' � �-� �o o � � � �o � P
IIWe certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
was/were a resident of Indiana and owner of the aforementioned property on March 1, 19
natu (own�)x�� Person authorized by duly executed Power of Attorney or
�� by IC 6-1.1-12-.07).
II Reside t Address of Aplicant i�� Address of Authorized Person
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