HomeMy WebLinkAboutMortgage_Woodstin
•' ,.,. � F
�
STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION ou n ip Year
Sta:e Form a3709 (RS I a-03)
P�escnDeG by Depanment of Laal Govemment Finance MAY
INSTRUCTIONS: � �i�ark
To be /iled in person or by mail with the County Auditor of the county where the property is located. �
Filing Dates: 7J Real Property.• During the 12 months 6efore May 11 0/ the year the deduction is ��S@//eQ4'NBNTY qUD170R
2J Mobile Homes assessed under IC 6-1.1-7: Between January 75 and March 2 olthe year the deduction is to be eflective.
See reverse side for additional instructions and quali�cations.
Applicant
Taxi�Distrid
(.�l.0
contracf
Assessed value of real property as of
March 1, current year
If no, what is his / her exacl share of
reverse side)
Key number / iegal description
b�� -a aaa
Mortgage / CoMract indebtedni
March 1, current year
� �P p�
If name on record is different than that of applicant, indicate
f
�
P
._��_..— - — --�
� �s _�ypg
���
�
G � S�, 5CfJ. a—°
- �� ��a
D� _O�R�all �""�7
Record number
; _� Page number �c ` O �
-r
unpaid as of Is the appiicant the sole legal or
owner? �1'es ❑ No
r
If owned with someone other than spouse, indicate wiih whom.
Is theproperiy in question:
C�eal Property p Mobile Hwne
�
'ty, state, ZIP
• ��
, 3<
. � -�
. ?����
� -o
-'i � �, COp•ov
JNTY AUDITOR
Z� oo� -oaaas-ea
www.integrated-courts.com
www.amcad.com -
We certify
resident of
�
zo
Date
e
Fr1.1-�
i been requested on
nt vear? � Yes � No
zo
ihe penalty of perjury that Ihe above and foregoing information is true and wrrect and lhat the applicants was / were
a and owner of the aforemenlioned property on March 1, 20
Iull name)
Person authorized by duly executed Power of Attorney
or by IC 6-7.1-12-.07
of authorized person-
�