HomeMy WebLinkAboutMortgage_Wallis (2).�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
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-_ State Form 43709 (R8l 2-07) u ��
�° �� Presaibed by Depahmenl of Local Govemment Finance 1,
File Mark
INSTRUCTIONS: AUG 1 4 LUGH
To be filed in person or by mail with the CountyAuditor o7 the county where the propeRy is bcated.
Wing Dates: 7) Real PmpeAy: Dunng the 12 months befora June 17 of the year fhe deduc6on is to be ef7ective.
2J Mobile Homes assessed under IC 6-7.1-7: Belween January 15 and March 2 0/ the year the deduc6on is to`6�ective�
See reverse side for addiGonal ins6uctions arrd quali�cafions. ����}j �
-see
n.�.,.. «o-i -i-i -.� o�-�w
real popaly as of March 1. qnent year Mwtgage I ConUaq indebledness
wrtenl ye� �� ��!
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what is his / her exacl
ne m rcr.ad is diRera
: of rtart9agee or canl
af rtartgagee or conliaC sella (num6er and slreel, dty, state,
Name af asvgnee or d}ier ow�r or hdder of mortgage
Address of assignee
code)
�7-GbZ % � R�� P��S
as ot March 1, Is ihe appticant Ihe sde legal or equiUde wmeR
wiUi someone dher Ihan spouse. indcate wiUi whom.
Dces applicant awn property in any dher I If yes, what munry7 What T�ing Disirict?
munry in Indiana?
❑ Yes ❑ No
❑Yes ❑ No
Is Ihe property in question:
❑ Real PropeAy ❑ Mobile Hpre QC &1.
uested on praperty
❑ Yes ❑ No