HomeMy WebLinkAboutMortgage_Ridgely�
STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
J State Fortn 43709 (R5 / 4-03) �"
S µ� � � , . ' . � ` ` . ' � ' . . � t.- 1� � �!
� Prescnbed De rtment of Local Govemment Finance R F
INSTRUCTIONS: MAY EF�L�Q¢�
�To be filed in person or by mail with the County Auditor of the county whe�e the property is located .,
Filing Dates: 1) Real Propeny: During the �12 months befo2 May 17 of the year the deduction is .be eHective! ��j) //////
� 2)� Mobile Homes assessed under IC 6-1.7-7: Between January 15 and March 2 0( � eai Ihe`d�ductlonjs���ective.
See reverse side for additional instructions and qualilcations. �O GI9SON G'OU�TY ;,UDITOR
Applicant (owner rcontract buyer- see restri � ns on reverse side)
Tauing Dislnd . Key nu r/ I g I descri ion Record ��
l'J
�� � / da0�-�-� Page number ��
b
Assessed value of real property as of Mortgage / Contraci indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, curcent year March 1, current year � owne(? ❑ Yes ❑ No
.J D[�
If no, what is his / her exact share of interest? If owned wilh someone other lhan spouse, indicate with whom.
- �- � - QD- a. �r- oa
If name on record is different than that of applicant, indicate below: Is the property in question:
- ❑ Real Property ❑ Mobile Home QC 61.1-�
�ame of mortgagee or wnirect seller �
i
Address of mortgagee or contract seller (number and street, city, state. ZIP .
Name of assignee or other owner or holder of mortgage
Address of.assignee (number and street, city, state. ZIP code)
Does applicant own property ir any ether I If yes, •.vhat county? � Ydhai Taxing Disirict? Has this dedudion been requested on
county in Indiana? � property for current year? � Yes❑ No
COUNTY AUDITOR
Deduction approved in the amount ot:
zo �_� zo n�n zo � zo �g zo o� zo zo
p � P
Signature County Auditor Dale
�/ We celtify under the penalty oi per]ury thai the above and foregoin, intonnation is true and corred and lhat ihe applicants was / were
resi Gtnt of Indiana and owner of the aforementioned property on March 1, 20
tur wners ll rame) Person auihorized by duty executed Power of Attomey
or by IC 6-1.1-12-.07
ul 'd addr f a ,cant � —�� Addr� s o autbonzed person
�/ 6 7 �