HomeMy WebLinkAboutMortgage_Taylor (5)" a°^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
._ �
State Fortn 43709 (R8 / 2-07)
�� w�. � Presmbad M Deparirtrent of Local Goaemment Fi�nca
File Mark
�NSrnucnoNS OCT 3 0 2008
To be fited in person or by mad wrth the CourMyAuditor of fhe cou�rty whera fhe property is located.
Fding Dates: 7) Real Property: Durrng the 12 months before June if d the year the deduction is to be eliective.
2) Mobile Hames assessed uMer IC 6-1.1-7: Behveen January 15 and March 2 0/ the }rear fhe deductia�-is�tq�be eNy�'rye: _
See reverse side la additional ins6vcfions and qualifications. O'lo�� '`• �,�`U �
Appiicam( ermwnfrad6uyer-seere ' mreve "de)
T"rg Disind. _ K number / I- I desrnptiono O' ��- O� � Record num� Page number /
�M
Asse.cud rdlue of m.al piopeM1y as of Ma�rh 1. a�t ys�r MMgage / CanUad'mdebledness unpaid as of Marrh 1. Is Ihe applipnl ihe sde legal or equiiable wmefl
airterd
❑Yes ❑ No
if • '�at is his / her exad share of interest? If ownad wilh son�one alher ihan spause, intlicate with wFom.
If reme m recard is difiarerq ihan Ihffi of applimn4 i�rate belav: Is ihe property in question:
❑ Real Pmperty ❑ Mobile Home QC G7
� Addrass W mortgagee d conUad seller (numbB! en0 SheeL d1Y, sfafe. aM
� Name of assgrree a dher wvner u hdder
� Address of assignee
Does applicant ovm property in airy dher
COUlliy YI III(�dfld�
❑Yes ❑No
� Dedur.tion approved in Ihe amounl
0
Sigrature of Camry AudMr
�
�
LP code)
If yes, what counf/.� Whal Ta�dng DisUic
COUNTYAUDROR
20 20 20
Caunry
Ce�.
ioo�_3b�y
Has Ih's deductian bee�+ requested on poper�y
(of q1Renl yea/?
❑ Yes ❑ No
20
20
I/ We certify u�er the penalty of perjury Uiat the above and foregoing infortnaGOn is We and mrtect and that the appiinnts was / were a resident of
Indiana and owner of the aforementioned roperty March 1, 20
rs iw� �eme) o� ��m, aar. rea�
i��(� �, / �
.mber end s6e c . slate,
� ��
�
Powa aFlutmrey or by IC 1
Address of aulhoraed persm (number aiM s4ee(.
�Y�G�/�
�ate,mor,th. Day Y��)