HomeMy WebLinkAboutMortgage_Lance.+°•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION ��
State Fartn 43709 (R8/ 2-07)
S„N 1 Presmbetl by Departmenl of Loral Govemment Finance
File Mark
iNSrnucnoNS: JUL `L 9 ZU08
To be filed in person or by mad wifh fhe CountyAuditoi of the county wheie the property is bcated.
F�'mg Dates: 7) Real Property: During the 12 months before June 77 d the year the deducfion is to be eRective.
2) Mobile Homes assessed under IC 61.7-7: Behveen January 15 and March 2 of fhe yea� the deducGw��i y'¢�tp be e�L�ve.
See reverse side fa additional instructions a� qualfications. `� �
(owner
ar
L
Marth 1. amr.nl y�r
is his / her ecacl share M interest?
If reme m recorE is tliRerent Ihan thal
�ll -a9-1 rn -oc� .'�7-c�3- J Reoo�d�ba5 P � 1 � �
/
CJ
7e / Co]�.�f indebtedness unpaid as of March 1, Is ihe appliq�t Ure sole legal a equifade onneR
year iX�7
T 7l � /�R`1r'1 ❑Yes ❑ No
Name of mortgagee or cantract seller /'
`�l.
Address of rta�tgagee or oonlraG seller (number aM street. dty. state, aM
p W�er owner or holder of mwlgage
ot assynee (rnnwe. and so-eef, dry, srate. and z�r mce)
Daes applicara wm propertY in a�ry anu
courLLyin Indiana?
❑Yes ❑No
Deduction appmved in Ihe amounl of:
� U"( � 2p
L/
� t f /WdM�
I / e certi und
Indiana and o of th I
�5� we o ers nanre)
lent address ot applicant
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Person aWha¢ed by duy arzeaL
Ii rnmed wiTh someme dher �han spouse,
is Ne propeM in question_
❑ Real P'operry ❑ Mobile Home QC 61.
Ifyes.whatcounry? lM�-•' , /1��1 � (
2.�0$ '� ` `,
.�•'y.,+�' "
•.J
.�� ��� �� `O�'
i ''
20 _ C,�� \� `O • - _
: dedudion been requested on property
�� y�n
❑Yes ❑ No
20 20
Date (�q(FLddY. Y€a� n
of perjury fhat tl� above and foregoing in(ortnation is true and mrrect and tlial the applicznts was I were a residen[ af
nCnfioned Dropefly On Ma(ch 1, 20
state. aM ZIP
Power of Attarrrey or by IC
persm (num6eraMstrcef,
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