HomeMy WebLinkAboutMortgage_Goedde.P °'n STATEMENT OF MORTGAGE OR CONTRACT INDI
_ FOR DEDUCTION FROM ASSESSED VALUATION
� � State Fortn 43709 (Re l 2-07)
�� 1 Presaibed by Department W Lacal Govemment Firwice
Counf Township Year
��
File Ma�C 2008
rNSrnucnoNS: MQY 2 '1
To 6e fiied in person or by mad with the CountyAuditor o7 the county wheie the property is bcated.
Fding Dates: 1) Real Proper(y.' During the 12 rtronths before June 17 d the year the deduction is fo be el7ective. /� ,/
2J Mobile Homes assessed under IC 6-7J-7: Belween January 15 and March 2 0/ the year the deduc6on is to be e�� �v /�j
See reverse side (w additional insWcfions a� qualificafions.
N COUNTY AUDI'fOR
Appicam (owner or wn4ad buya - ee restncfi ns� / 1•
T" �isUiG � Key raunber / Iegal desaiplion Recatl number Page numher
�-6 �/9-i7 - Do -000. ���-o�s" aoo 8 a��8
p�.�¢ o} ryy p�p¢rty as d March 1. anent yESr Mw�ga9e / ConVaQ u�debteAness unpaid as of March 1. Is 1he appGfanl lhe sale legal w equita6le wrt�eR
wrtentyear � � O� .
❑Yes ❑No
his
than inat of applirant ��dipte below:
mortgagee or caniracl seller
AAdress of mortgagee a cantraG seller
sfafe. aM ZIP code)
Nartre of assigriee ar dher owner a hdder M martgage
Address of assi9riee (numbu aM sfreeL city. Yate, arM ZIP oode)
Doas applicanl own poperty in arry oiher If yes, what counry7
counry in Indiana?
❑Yes ❑ No
COU
Deduction apprwed in ihe amounl of: .
2p (�g 20 _ 20 _ 20
someone other than spouse. irWiwte with whom.
Is Ihe property in question:
❑ Real Property ❑ Mobile Home
Dra�ver NO��.�.~.f.��
_ �� i —
WhalTa�dngDisUi� � �aZl�d;l\rV.. .........'...
�'mS -. .........
m�B ��as, G�, o0
AUDITOR
20 _ I 20
Oate (month, day,
20
I I We certify under the penalry of perjury ihat the above and foregoing infortnatbn is true and coneci and ihat Uie apptipnts was / were a resident o(
Indiana and owner of the atorementioned property on March i, 20
�SigraLUe (mvne/s hAI na Date (mmN. day, Yea�
�� i
� sidentadtlresso applicanl(n�m6erandshee city, afe.andLP e) �/ �^
3 d � � 'JSD S �. ��
Perwn aulhrnaed by duly exealed Power oflLLlnmey n by IC 61.1-72-.0 Da�e (rnonN, Oay, yea�
af aNhoraeC parsm (numbe� aM sbee4 uA', sWte, and Z!P code)