HomeMy WebLinkAboutMortgage_Ivy.+°•^ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS n T h Year
x,, ., � FOR DEDUCTION FROM ASSESSED VALUATION
Stale Form 43709 (RH / 2-07)
�°�;:,� j Presvibed by Deparlment of Local Govemment Finance
File Ma
INSTRUCTIONS:
To be filed in person orbymail w8h fhe CountyAuditor o/the county where the propertyis located. � `-yr ��
F�7ing Daies: 1J Real Property: During the 72 months be/we June 11 0/ the year the deducUon is to be eflective. O'/
2) Mobile Homes assessed under IC 6-7.7-7: Behveen January 15 end March 2 0/ the year the deduc6�istn �� � qUDITOR
See reverse side lor addi6onal insWctions arnd qualifications. 8S V
w mnVadJ]uyer - see
�
Ta�drg DisVi Key number I leg�desaiption Remid num r Pege number
d-. �- -l3-l0/-oo/•�a - ��6 0� 7�
Assessed value of mal popaty az d Mart�h 1, curenl year MMgage I Caniracl indebtedness unpaid as of March 1. Is Ihe apptipn� Ihe sole legal a eqtritahle wmeR
artent year
� � Q Q C� ❑ Yes ❑ No
"�o, wtiai is his I lier enacl share of interesl? If owned with mmeone dher lhan spouse, irdicate wilh whom.
�i name on recora Is afierant lhan inat ot applirant, Indimte belav:
Name of morigagee ar mnUact seller
S,�__
Addrass of rtwrtgagce w mnlracl seiler (number and SGeet, tity, stafe, aM ZIP rode)
Name of assgrice a other oxner w holder of morigage
Address ot assignee (n�mber erM sfreel. dty. �ate. and 21P code)
Does applicant am property in any other II yes, whet couny7
courriy in Indiana?
❑Yes ❑ No
COUN
Deduction apD�'� � the amount of:
20 � ZO _ 20 _ 2� _
� �
SignaWreofCounyAUtlibr n �
I/ We certi�,Gnder the penalty of
Indiana ar�Y�ovmer oi the afwemE
S� nmi�.a r... �
�,, _ __ � 4
�mvdent adtl of applicant Snv�
—702 /<o,�.�Pu'� i
Is �he property in question:
❑ RPaI Pmperty O Mobile Home QC G7.
What Ta<ing Dis' ' . I Has Uio deduaion baen requmted on praparty
fw arrenl yeal7
� _� ❑ Yes ❑ No
�UDROR ����//�L� _
SG� j � � —
� D�_ ����` � -
CouMy e-�
that the above and foregoing infwmafion is We and corred and thal fhe apy..
property on March t. 20
anafuncL cd1y. sfa%f%e. arM Z!P m/
'r. i�/� C)�a��/i
� of Ntomey a by IC 61.1-72-.07
PAOress of eulhoraed person (number aM street, aty. stefe,
yaen
daY. Y��
ent of