HomeMy WebLinkAboutMortgage_Wills°'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS' Count Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
Stale fam 43709 (R8 / 2-07)
�' f Resmbed by DePaitmenl of Local Govemment Finance
File Mark
INSTRUC770NS: �� �
To be filed in person o� by mad wdh the CountyAuditor o/ lhe county where the p/o is ca d.
Fding Dates: i) Real Properly: During the 72 months before June 17 0l fhe year fh e
2) Mobile Hanes assessed under IC 64.1-7: Behveen January 15 and March 2 0/ tlre year the deducSon is to be effective.
See reverse sidela additional insbuctions arW quali(cations. MAY 1 4 Z��B
P.pqifant ( i buyer - see ' s erse sde) (� ` '+ �
J !il/
Tau Di 'G ey number ega��rnpW ^ D O D O��B �� YD� \ J Re�yW ndr� er Pygp+y�rrRf�r
6 D J � � �J ( �%f �-�
Assessed rahie of real piopaty as d MaN� 1. wient ymr Mongage / Contrad "uWabtedness unpaid as of March 1. Is ihe app5cant Iha sde legal a equifahle mmeY/
a�nent O
❑ Yes ❑ No
If�vhai is his I her exaU share of iMeresl? If awned wilh someone dher lhan spouse, intlicate with whom.
If reme m recwd is dAterent ihan ihal of applican4 indi�le below: Is ihe praperty in question:
❑ Real Property ❑ Mobile Home QC 61.1-7)
Name of morigagee or mnlracl seller �f � �.\
J �
Address of mortgagee w mntrad seller (number aM street. dly. state. a�M ZIP crode)
Nartre of assignee or dhe� oaner or holtler af matgage
Address of assignee (mrnbei aM sVeet dty, Aafe, and ZIP oode)
Oces applicaM own pope�y in arry dher If yes, what
courLLy in Indianal
❑ Yes ❑ No
Detltxtion
20
amaunt of:
20 O 9 20 20
iadng DisUict?
20 _
Has Utis tleduction bcen reques�ed on property
for arrent yeaR
❑ Yes � No
20 20
Dafe (rrmth. day, yea�
I/ We certify under the penalty of perjury tliat Uie above and foregoing infortna6on is trve and mrred and that the applinnfs was / were a resident af
Indiana and owner of the aforementioned property on March 1, Zp
�naWre ( e!s ful ) /� s Dale (monfh, daY. Y��l
l �/
, add of nt (nwn6er antl sheel�. c�rn . stafe. aM LP mde)
> 8 Y6 �„� sso l�o wens�;/l� 2^� y�c6'.�'
�rson autha¢ed by duty azealed Power oflLLbr�y w by IC 61.1-12-.07 Oate (monfA, day. yea�
of auUOr¢ed pmsm (num6ei and s6eet uN. slafa, and ZIP wde)