HomeMy WebLinkAboutMortgage_Reeves (2)�"•'E STATEMENT OF MORTGAGE OR CONTRACT
� INDEBTEDNESS FOR DEDUCTION FROM ASSESSED.
VALUATION State Forin 43709 (1-90) Prescribed by the
��' � State Board of Tax Commissioners
Instructions for filing:
To be filed in person or by maii with the County Auditor of the county where the
property is located during the 12 months before May 11 of the year the deduction
is to be effective. See reverse for additional instructions and qualifications.
Applicant (Owner or c�ifiZr�t buyer - see
Key Number/I
. �0J �
MpR 0 L 20G0
�iption Reco7d No. Q "a
Q' 0 V Paqe No. ` ���
Assessed value r al property as Mortgage/Contract Indebtedness unpaid Is the applicant the sole legal or
of March 1, curre y ar as of March t, current year. equitable owner? rJ yes � no
� d d
If no, what is his/her exact share or interest? If owned with someone other than spouse,
indicate with whom.
If name on record is different than that of applicant, indicate below:
mortgagee or contract seiler
mortgagee br contract seller
Name of Assignee or other owner or holder
Address of Assignee
e
Does applicant own real property I If yes, what county? I What Taxing District? I Has this deduction been
in any other county in Indiana? requested on property for current
year? O yes O no
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount of:
19 19�(�Q_2 c�°�-O3 ��V� 19 T%�` t� OOG
.1Y1� �� �•3-bl sf��sliL �-YABOf1 � P
Secretary of Board of Review ; Date
r�
%
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
nts was/were a resident of Indiana and owner of the aforementioned property on March 1, 19
, nature (owners full name) Person authorized by duly executed Power of Attorney or
_ �� N�� .���� by IC 6-1.1-12-.07).
Full Resident Address of Aplicant
Address of Authorized Person