HomeMy WebLinkAboutMortgage_Crawford.� rt.,
e f STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
i%�"" = FOR DEDUCTION FROM ASSESSED VALUATION
��� y SUIe Form a3709 (Ra I 70-07) O�.
Prescribed by Departnent of Local Govemment Finance ,a
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INSTRUCTIONS: ��,
Count Township Year
File Mark
To be filed in person or 6y mail with the County Auditor o1 the county whe�e the property is located.
Filing Dafes: i) Real Property: During the 12 months be%2 May 11 0l the year the deduction is to be eHective.
2) Mobile Homes assessed under IC 6-1.1-7: Behveen January 15 and March 31 0/ the year the deduction is to be eHective.
See reverse side /or additional instructions and qualificafions.
Applicant (ownero ntract buyer- see resfrict n reverse side
Taxing District Key number / leg escription Record number Q�
V`/� J f�/ D � ��_ona � 3—� Page number �r7
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Assessed value of real property as of Mortgage / Contrad indebledness unpaid as of Is the applicant the sole legal or equitable
March t, wrrent year March 1, current year owner? ❑ Yes ❑ No
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If no, what is his / her exact share of interest? If owned with someone olher than spouse, indicate with whom.
If name on record is different than that of applicant, indicate betow: Is the property in question:
❑ Real Pmperty ❑ Mobile Home (IC 61.1-�
�me of mortgagee or contraIX seller
513
Address of mortgagee or wntrect seller (number and st�eet, crty, state, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (number and sVeet, ciry, slate, ZIP code)
Does applicant own property in any other I( yes, what county? What Taxing District? Has this deduclion been requested on
county in Indiana? property for current yea(?� Yes� No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20"��0 20 �� 20 �� 20 C��
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Signature County Auditor Date
We ce ify under the penalty of perjury that the above and foregoing information is true and corred and thal the applicants was / were
resident f Indiana and owner of the atorementioned property on March 1, 20
Si wners full na ) Person authurized by duly executed Power of Attorney
�� or by IC 6-1.1-12-.07
Full reside ddress of applicant Address of authorized person
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