HomeMy WebLinkAboutMortgage_Muncy`rt�° ; STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
�° : FOR DEDUCTION FROM ASSESSED VALUATION
t y State Fortn 43709 (R3 / 10-00)
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� Prescribed by State Boartl ol Ta< Commissioners
InsVuctions 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 effedive. See
reverse side for additional instructions and qualifications.
buye�r/j- ��ee 2strictions on reverse side)
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Assessed value of real property as
March 1, current year
If no, what is his / her exad share of interest?
name on
Key/�umber / Iegal description
/
A32588
Count Township Year
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NOV 2 9 20U1
Record number
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� ��s/O—Q6 Pagenumber � �� �
Mortgage / Contracl indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, current year owner? ❑ Yes ❑ No
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If owned with someone other than spouse, indicate with whom.
�e of mortgagee or contrad selier G�,/ ����L S
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Address of mortgagee or contract selier (number and street, city, state, ZIP
Name of assignee or other owner or holder of mortgage
of assignee (number and stieet, city, state, ZIP code)
Does applicant own real property in any If yes, what county? I What Taxing District?
other county in Indiana?
20
approved in the amount
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y� 20 '
G.� /, J� O�a-,
COUNTY AUDITOR
20 20 �% 20
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County Auditor
Has this deduction been requested on
property for wrrent year?� Yes� No
20
Date
r � �)� 1
I �
ceAify under the penalty of perjury that lhe above and foregoing information is true and correct and that the applicants was / were
lent of Indiana and owner of the aforementioned property on March 1, 20
+� / /�i.. v +4�
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or by IC 6-1.1-12-.07
person
of