HomeMy WebLinkAboutMortgage_McKannan (2)� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEONESS
FOR DEDUCTION FROM ASSESSED VALUATION oun wn h Year
�+ ! State Form 43709 (RS / 4-03) . .
� 4 FEB 0 7 2006
PrescnDed Ey Department of Loral Gtivemmenl Finance
INSTRUCTIONS: �l �FTe�"�,
To be filed in person or by mail with the CountyAuditor of the county where the property is Iocated.GIBSON COUNTY AUDITOR
Filing Dates: 1) Real Properry Dunng the 12 months be%re May 11 of the year the deduction is to be effective.
2J Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 0/ the year the deduction is to be elfective.
See reverse side for additional instructions and quali�cations.
Taxing
<
Assessed value of real
March.l, cunent year
er- see re t�ns on re er e side)
/ C
Key number / legal description
� �;.. , �-. - r . '• . ..
00'�I - 00 7! �-�c�
as of Mortgage / Contract indebfedness unpaid as
March 1, current year
If no, what is his / her exact share of interest?
on record is different than that
of mortgagee or contreIX seller
indicate below:
Record number
Page number ��
f Is lhe applicant the sole legal or equitable
owneR �'es ❑ No
If owned with someone other than spouse, indicate with whom.
Address of mortgagee or contraa selier (numtier and -'—°�-�%n�. state, ZIP
Name ot assignee or other owner or holder oi mortga
�f assignee (numberand street, city, state,
Does applicant own property in any other I If yes; wh
county in Indiana?
Deduction approved in the amount of:
+Z�7
Signature
��C) � ,- ��I'`1
Dra«�er \'0...... � ' .
..............
Card �'p . ...............
'. -: - .
COUNTY AUDITOR
2� � ( 20 � ( 2� I 20
!�
County Auditor
property in questian:
al Properry ❑ Mobile H«ne pC 67.
�
Dale
his deduction been requested on
�rty for wrrent year? Q Yes ❑ No
20
certity under the penalty of perjury that the above and foregoing information is true and corred and that the applicants was / were
I�eat, of Indiana and owner of the aforementioned property on March 7, 20
(ull
of
Person authorized by duly executed Power of Attomey
or by IC 6-1.1-72-.07
Address ofauthorized person