HomeMy WebLinkAboutMortgage_Schnautz.•�* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
s,, .. ?� FOR DEDUCTION FROM ASSESSED VALUATION �� ,�
S�ale Form 43709 (RB / 2-07�
�' -- ' Presaibed by Department of Local Govemmenl Finance
INSTRUCTIONS: �EC 1 J ZOU� Ma(1C
To be filed in person or by mail with fhe CountyAuditor o/ fhe count y where the property is loceted. �
Fding Dates: 1) Rea! Property: Dunng the 12 monfhs be/we June 11 0/ the year the deduction is to be elfeclive.
2J Mobile Homes assessed under IC 64 J-7: Behveen January 75 and March 2 0/ fhe year the d�ucJFp�s tdti�g�Xective.
See reverse side /w additional insWCtions a� qua/i�cations. /f � �
App�rcant
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T8A2p 051nrJ L ��`M ��' /�, � Key n�mber I legal tlesrnpipn �i
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w� 6_o�,�a3 l�-� �. S$i-o�S
Aw,��aea v�� m rea� poperty as of March 7, arrenl year Martgage / Contrad iiWebledness unpaid as of March t,
V anent year � p� Q�\
V lJ LJ
'.:�ro, whal is his I her pxacl share of irrteresl? If wmed wilh someone oUx
�me m record is d'rfFeren� Nan Nat
of rtwrtgagee or contrad seller (number aM sfreeC dty, state, aM ZIP code)
Name of assignee a dher o.vner w hdder af mortgage
Atldress of asvgnee (numberaM streei. �
Does ap{dicanl own propeny in eny dher
counry in Intliana?
❑Yes ❑ No
Deduction apprwed in the amount of:
20 Q C� 2b _
f�
u o n Aua
I! We certity und r Ihe pena�ty
Indiana and own oi the atorei
SignaWre (awne/s hAl name) /f
tluy e:ecuted
z,—P� P,q�� s.
Sck� �—
Ify ^ �
^ r� �%Z
— V� �^�
'/ �
20 — � 2b —
Remrd n
,
Is ihe applicanl �he
spouse,
« eyuitade wmer,
❑Yes ❑ No
the property in queslion:
I Real Property ❑ Mobile Home pC 67.1
20
�aestetl on property
❑ Yes ❑ No
20
I �a�m I o�e uf�'=tlp��, �?�
��
ihat the above and foregoing iniormation is W e and correct and ihat the applicanfs was I were a resident of
property on March 1, 20
_�� Date (monfh. deY.Y��
stafe. arM ZIP cotle� �
a by
Address M aulhwaed persm (number arM streeG dty. stefe. arM ZiP ootle)
Date (mm(h. day, yeaA