HomeMy WebLinkAboutMortgage_Fischer.r � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
�..
s FOR DEDUCTION FROM ASSESSED VALUATION ��
S�ate Farm 43709 (R8l 2-07)
�'�; �� Presaibed by DeOanment of Local Govemmenl Finance
INSTRUCTIONS: DEC��� 9aC008
To be filed in person or by mail with the CountyAuditor ol the county where fhe property is locafed. �
Fding Dates: 1) Real Property: Dunng the 72 months be%re June 71 0/ the yeer the deducGOn is to be efFective.
2J Mobile Homes assessed under IC 6-1.1 J: Behveen January 15 end March 2 of the year the deducUon is to-bg��fectiv8P
See reverse side for addilional inshuctions and quali�cations. �/'/ ��" �
reverse s4W r� O �
L � % L'/(P —/ ��/ " 6�FJ 7- �- d/' v o��/ J
�f paly as arrh 1, aumnl year Mwigage / Contract indeWedness unpaid as of March i, Is lhe applicant Ihe sda legal w equitade ame(
curtenl year �
❑Yes ❑ No
/ her ezad share of interesl? o.vned with someone dher �han spouse, indicale with whom.
oi
nddress or rtanqagee « mnvaa seiler (number ana sheeL dry. stare. ane z�r roee)
Name of assignee or W�er owner w holder oi mwlgaqe
Address
stefe.
yes,
❑Yes ❑ No I
_ _ - �9�
Drawer NO��:...°��...
caunly?
zo
Wlat Tazing Disirict?
�
Is ihe property in Question:
� Real Pioperty ❑ Mobile Home QC 61.
Has Uis deduqion been requested on property
fa artent yeaR
❑Yes ❑ No
zo
— — 20—
Card NO. .........
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� u/%)% U`[i� ��/•/' ��• O0 Counry Dala (mmN. deY Y�/)
5
I/ We certify under the penalry of perjury that the above and foregoing infortnabon is true and mrrect and that tlie applicants was / were a resident of
Indiana and ovmer of the aforementioned property on March 1, 20
Signawre (owne/s Iu/l name) Dale (month. day, yeer)
of applicarn (number and streel. cdy. state. and ZIP ooAe)
Person authwized by duty exeated Power of Atbmey w by IC 61.1-12-.07 � Date (monfh, day, yea�
of aulharzed persm (number antl sveeG aty. state,