HomeMy WebLinkAboutMortgage_Turner� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
�- ! State Fortn a3709 (R5 / 4-03) '
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� Prescribed by Department of Locai Govemment Fina�e
INSTRUCTIONS: File Mark
To be filed in erson or b mail with the Count Auditor o/ the coun whe2 the ro e � R ' T
p y y ry p p rty is located.�� q f3 � � 1 j
Filing Dates: 1) Real Property: During fhe 12 months befo2 May 11 0/ the year the deduction is to be eflecfive. �
2) Mo6ile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 0/ the �ar tfie de�duction �s to'be eflective.
See reverse side for additional instructions and quali�cations. Q� � Z 4 ZQQ4
(owner or contract
tions o ieve
Key number
Record
�,U:.iTC^
< Y
' O(� � Page number (�n �]
� � 1 .� O ��' i r
Assessed value of real property as of Mortgage / Contrad indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, wrrent year March 1, cur� �ar � O owneR ❑ Yes ❑ No
V
If no, what is his / her exact snare of interest? If owned with someone other than spouse, indicate with whom.
If name on record is different Ihan that of applicanf, indicate below: Is the property in question:
of mortgagee or contract seiler
Address of mortgagee or contrad seller (number and sfieet,
assignee or olher owner or holder of mortgage
of assignee (num6er and street, city, state, ZIP code)
Does applicant own property in any other If yes, what county? I What Taxing Distrid?
counly in Indiana?
approved in the amount of:
20 Ql� I 20
��
�
COUNTY AUDITOR
20 D � 20 �� 20
P
County Auditor
❑ Real Property ❑ Mobile Home pC 61.
r��
Has this deduction been requested on
property for wrrent yeaf? (� Yes � No
�
Date
20
We certify under lhe penalty of perjury that the above and foregoing infortnation is true and corred and that the applicants was / were
�sident of Indiana and owner of the aforementioned property on March 1, 20
(owners /ull
of
or by IC 6-1.1-12-.07
of authorized person
of Attomey