HomeMy WebLinkAboutMortgage_Strange�" STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
' ' FOR DEDUCTION FROM ASSESSED VALUATION un 7ownship Year
` M.� �� State FOrm 43709 (R4 / 70-07) �n1 , Q
�� PrescribeC by Department of Local Cwvemment Finante /'�� -
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INSTRUCTIONS: File Mark
To be filed in person or by mail with the County Auditor o/ fhe county whe2 the property is located. �����
Filing Dafes: i) Real Property: During the 12 months be%re May 11 0/ the year the deduction is to 6e e(/ec e.
2J Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 31 of the year e de ti t e.
See �everse side for additional instructions and quali(rcations.
NOV 2 0 2002
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Applicant (owner or contract buye - e rictioRs on verse side) �
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T ing trict Key number / legal description Record numb �
Q _ �( Page number �
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A essed value of real property as of Mortgage / Contrad indebtedness unpaid as of Is the applipnt Ihe sole legal or equitable
March 1, current year March 1, wrrenl year owneR ❑ Yes ❑ No
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If no, what is his / her exact share of interest? If owned with someone other lhan spouse, indicate with whom.
If name on record is different lhan that of applicant, indicate below: Is the property in question:
❑ Real Property ❑ Mohile Hmie (IC 61.1-�
�me of moAgagee or contrad seller
Address of moRgagee or conVad seller (number and street, city, state, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (num6er and street, city, state, ZIP code)
Dces applipnt own property in any other If yes, what wunty? What Tauing District? Has this deduction been requested on
county in Indiana? property for current yea(? � Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of: �
20 A. ? 20 20 Q� 20 � 20 20 � 20 QL
p
Signature County Auditor Date
We ceAity under lhe penalty of peryury that the above and foregoing infortnation is true and correct and that the applicants was / were
resident of Indiana and owner of the aforementioned property on March 1, 20
' nature (owners 11 na ) Person authorized by duly exewted Power of Attomey
' � or by IC 6-1.1-12-.07
I resid nt address appliqnt• Address of authorized person
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