HomeMy WebLinkAboutMortgage_Patterson (5),.��pa4 STATEMENT OF MORTGAGE OR CONTRACT
��-`°:� `; INDEBTEDNESS FOR DEDUCTION FROM ASSESSED
A.?���,' VALUATION State Form 43709 (1-90) Prescribed by the
,� �_� State Board of Tax Commissioners
��
Year
;^ , \ l • e��
Instructions for filing:
To be filed in person or by mail with the County Auditor of the co nty w ere the -��
property is located during the 12 months before May 11 of the yea he d du FEB 1 91993
is to be effective. See reverse for additional instructions and qualific on�. .
Applicant (Owner or
District
Assessed value of real'property as
of March 1, current year
��b
Key Number/Legal Description I Record No. 9�
- � ��Qd -0V I Page No.
Mortgage/Contract Indebtedness unpaid I Is the applicant the sole legal or
as of M�rct� 1�u�t year. equitable owner? rJ yes ❑ no
If no, what is his/her exact share or interest? . I If owned with someone other than spouse,
indicate with whom.
If name on record is different than that of applicant, indicate below: �(� �'� � xj
��n�_ � �.(� _ �
of mortgagee or contract
Address of mortgagee or contract
Name of Assignee or other owner or
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? O yes ❑ no
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount of:
1925�' I 1
19��+ �9-�-�_,Q �i�i
l� L-2e-ol l-�a—oz
Signature ' Se etary of Board of Review Date 68' 0
6�.�o-Q� �.�,�. ��,�o� 2°� �� �� � y
IlWe certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
�-�s was/were a resident of Indiana and owner of the aforementioned property on March 1, 19
�,,iatyr�$�s ful Person authorized by duly executed Power of Attorney or
,� „ by IC 6-1.1-12-.07).
Add�ess of Aplicant � Address of Authorized Person