HomeMy WebLinkAboutMortgage_Worthington.t�•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
,�, ., ? FOR DEDUCTION FROM ASSESSED VALUATION
. Stata Fortn 43709 (R8 / 2-07) .
�'�; `� Presaibed by DepaAment of Lacal Govemment Finance �
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File Ma
INSTRUCTIONS: �
To be filed in person or by mail wifh the CountyAuditor o/ the county whera the property is located. � (i P R Q 6 2��9
Fding Dates: 7J Real Property: During the tt months be/ore June 17 of the year the deduction is to be e/fective. .
2) Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 0( fhe year the deduction is to be eflective.
See vers side (a additional insWCtions and quali(cations. , �� ��
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ar wnv3x wne. - see
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is his I her ezaG share ot imerest?
rn recwd is d'Aterent Ihan thal of applican4 indicate belaw:
Name ot mortgagee or conlraU seller
Adtlress ot rtangagee « cmtraa saller (num6er aM street. dty.
Name of assignee w other owner a holtlar d martpape
Address M assgnee (num6ei eM sGeel, city, sfale.
Does applicanl own property in any othm ry�
counry in Indiana? .��_ �,� J�'b/� l, 1
- �,loR-i l��'� ' ��y M
-� � - �� Record nV 1 P�e � V�
' Coniraci iMebledness unpaid as of March 7, Is Ihe app5cant Ihe sde legal a equitade o.me(1
�� � p p �� .3 ❑Yes ❑ No
If wmed wiTh sommne dher Ihan spouse, indicate wi�h whom.
2 (��� k8n. 3� l�i'-l�3 �
Tazing Disirict?
20
Is the properry in quastion:
❑ Real Property ❑ Mobile Home (IC 61.
�o�c.-. 09� 3_� `F
Hes lhis tledudion been requesled on poperly
fa wnent yeaR
❑Yes ❑ No
20
Date (manN. Oey. yea�
20
I '
I/ We cerOfy under the penalry of perjury Ifiat fhe above and toregoing intormation is true and correct and that the applicants was I were a resident of
Indiana and owner of the aforementioned property on March 1, 20
�����.a r�•mar� hni �wmw� Dale (manth. DaY• Y��
street.
by duty exealed Power
a
Address of aultpr¢ed person (number aiM sbeet aty. sfate, aM LP wde)
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