HomeMy WebLinkAboutMortgage_Alexander��"� � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
= FOR DEDUCTION FROM ASSESSED VALUATION
�+ ! S�aie Fpm 43709 (R6 / S-06)
��� Presaibed by Depenmeni of Loral Govemment Finaxa
INSTRUCTIONS: Fi Maric
To be filed in person or 6y mail w8h the County Auditor o( the county where the property is Iocated.�AY �'j ���
Filing Dates: 1) Real P�operty: During the 72 months betore June 11 o/the yea� fhe deduction is to effective.
2) Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 of the year the d� uotion is to be etiective.
See reverse side for additional instnictions and quali/ications. ��'
_,.,�� O NTY AUDI'i0R
(owner o� contract buyer �s�e 2�tnctions on
Taxing District
Assessed value of real property
March 1, current year
If no, what is his / her exact share of interest?
oLCLG
/ legal
March 1, current year
/5O,(
I( name on record is different than ihat oi applicant,
of mortgagee or conVact seller
below:
Record number
� ge number
as of Is the appli
owner?
� 7
� / 7
t the sole legal or equi
Q Yes ❑ No
If owned with someone other than spouse, indicate with whom.
of mortgagee or contract seller (number and stieet, city, state, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (number and stieet, cdy, state,
Does appliqnt own property in any other Ii yes, what counly? What Taxing District?
counry in Indiana?
�
� COUNTY AUDITOR
�
�unt of:
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Cai-� 1\�0. ... ay97 ....
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;ounty Auditor
s the property
❑ Real Property ❑ Mobi� Home QC Gt.t-7)
Has this deduction been requested on
property for current year? Q Yes❑ No
zo
za
, I I We certify under the penalty of perjury o�a. __ above and toregoing infortnation is We and correct and that the applicants was / were
��sident oi Indiana and owner oi the aforementioned property on March 1, 20
Person authorized by duly executed Power of
or by IC 6-1.1-12-.07
Address of authorized person