HomeMy WebLinkAboutMortgage_Reed (3).a "•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
Stale Form 43709 (R8/ 2-07)
�� ,��� 1 Pr¢srnbee by DeparUnenl of Loral Govemmenl Finance
wsrnucnoNS:
To 6e filed in person w by mad with the CountyAuditor o/ Ure county where the pmpei(y is bcated.
Fdmg Dates: 1) Rea/ Property: Dunng the 12 months belore June 11 oI Ne yea� the deduction is to be elTective. A P R 2• 4 ���� $
2J Mo6ile Homes assessed under IC 61.7-7: Behveen January 15 and March 2 of the year the deduction is to be eNecfive.
See reverse side (a addi�nal ins6vcfions and qualifications. /��
. _ /�a�-� N /:�
�����Jt�sV�t�
�'�� .�•rR��
��
ezad share of i,rie2sl?
on recortl is d"Aierent than Ihal of appliran4 �����e
Name of morigagee ot con��ac1 seller
Address of mortgagee ar mnirad seller (numbe� and sheet, aty, s(ate,
prWwi o.vna w holder of mntgage
assignee (rnmi6eian0 sGeel, city, �ate,
Dces applicaM am property in arry olher
counry in Indianal
❑Yes ❑ No
Deduction app�oved in Ihe amaunt of:
��
I / We certify
Indiana and i
�11��
�� �
as of March 1,
the sde legal a equitaWe wmeR
❑Yes � No
wilh mmeone Wher �han spouse, irWicate wiili whom.
Is Ihe property in question:
❑ Real Propertv ❑ Mobile Home
whal counry7 Whet Taxing' �� ��is deduction been requestad on property
�� y�n
O ❑Yes ❑ No
\� �
COUNTYAUC'� �' '
•' _\ ,
Vt
of perjury that�he above and fon
nentioned qfoperty on March 7,
� n�j�' �}'• -�y•��
20 � V' ��-D� 20_
� �� ,•'�
% � • �/ /��,/,� oale (man¢
� �^ �0�:,� 1N"` �
20 _
��` �ti � .ed and thal ihe applinnts was / were a resident of
— GA;� Oa�e (rrwnih. day, yea�
. � . �G��
Pasan auiha¢ed by duly execuled Power of Ntaney d by IC 61.1-12-.07 I Oate (monfh. QaY. Y��)
Address of auUUraed pasan (nunrbei arM shee; aty. sfate, aM LP wde)