HomeMy WebLinkAboutMortgage_McDowell��°F STATEMENT OF MORTGAGE OR CONTRACT
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.3��°e, ' INDEBTEDNESS FOR DEDUCTION FROM ASSESSED
,=•�� VALUATION State Form 43709 (1-90) Prescribed by the
• State Board of Tax Commissioners
Instructions for filing:
To be filed in person or by mail 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 an�ualifi�i���l
Vi I
Applicant (Owner o con r t bu r-
Taxing District ,
(��C��
reverse)
Key Number/Legal
11
vnship Year
� �
Y ?r-
; Mar;k��
,! �
2.= t995 �
�'�� 1.0 �.�
�. .. .
. .._�. ,:,
Assessed value of real property as Mortgage/Contract Indebtedness unpaid Is the apF
of March 1, current year as of March 1, current year. equitable
�i .5- ��l rl ;�0. Q.l_b
If no. what is his/her exact share or interest?
If owned with someone
indicate with whom.
If name on record is different than that of applicant, indicate below:
of mortgagee or contract seller
Address of mortgagee or contract seller -
Name of Assignee or other owner or holder of Mortgage.
Address of Assignee
Does applicant own real property If yes, what county? What Taxing District? Has this d
in any other county in Indiana? requested
year? O
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount of:
� s 95-96 i s�� i
Sign t e �j
O�� `� 7-/0�98"
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� 19 b+b�y
I�� L'I�t'6l
y of Bo�rd of Review
206 �f
P�HBort}'
the sole legal or
? O yes O no
than spouse,
ction been
property for current
O no
19fJ�_c3��{,[, � a�003
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Lad-o�- � � a�
8 yB ��� ��
i r
certify under penalty of perjury that the above and foregoing information is true and correct and that the appfi-
was/were a resi ent of Indiana and owner of the aforementioned property on March 1,�19
�ture 1.ow�er fuli n me) Person authorized by duly executed Power of Attorney or
'.� �� _.� O� _ by IC 6-1.1-12-.07).
�t dress f A l�i // Address of Authorized Person
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