HomeMy WebLinkAboutMortgage_Offerman.+°•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
,_... = FOR DEDUCTION FROM ASSESSED VALUATION � T �
Slate Fortn 43709 (R8l 2-07) �
�' ;, � Presoibetl by Depanmenl of Local Govemmenl Finance
File Mark
iNSrRUCnorvs: AUG 1 2 2008
To be filed in person or by mail with fhe CountyAuditor of the county where the property is located.
Fding Dates: 7J Real Properfy: Dunng the 72 months be/ae June 71 0/ the year fhe deduc6on is to be elfeclive.
2) Mobile Hames assessed under IC 6-1.1 J: Behveen January 15 and March 2 0( the year the deduction is l�b,�'�c '� �
See reverse side Iw addifional instructions arrd qualifications.
Applicant (ownei or mnhaG buyer - see ra4�ictions on reverse
�mbeJ /kgal desaiption
ancnl year ^ Abrtgage I C
airterrt year
whal is his / ha exacl share ol interesl?
record is d'f.Iaent Uan
mongagee
� ' UL�> . J.,ILn ^
iMebledness unpaid as of Ma�ch 1,
«mnlrad sella (wm6er and sheef. dty. state, erd ZIP tatle)
Nartre ot assignee a other avrrer or hdder of mortgage
Address of asvgnee (rximber a� sUeet city. sfafe, arrd
Oces applicant own propaMy in any other
counry in Indiana?
❑Yes ❑No
Deduaion app�oved in Ihe amount oF.
20 �4_ 20 _
SignaWre of CounryAutliior
yes,
20
someorie
Whal Tazing DisUicl?
)UNTY AUDITOR
20 20
�� � R�ba� � Pco� �
Is the app6mnl ihe sde legal a equitade owne�
�5 ❑ No
spouse, irWicale wi�h wFwm.
',I-s-(N1e property in questim:
yi.rceal Pm�eny ❑ Modte Hane (IC 61.1
Drawer No••a.�7..;,.,....
� �9y
Card NO �
csa s.f�" �°'`�'r� -1
20
Daie (mon/h. tlaY.Y�A
20
I/ We certify under lhe penalry of perjury ihal the above and fwegoing infortnation is true and correcl and Nat ihe appli�anls was /.we2 a resident of
Indiana and owner of fhe aforementioned property on March 7, 20 �
aWror¢eC by euy ezewted
P��
�er d street dfy. state. and LP a'�
�p SO 5
wer of Allomey or by IC 61.1-12-.07
and sfrcef, dty, state, arrd ZIP code)
I � ��
Dale (rmrth, day. year