HomeMy WebLinkAboutMortgage_Norris.+°^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
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FOR DEDUCTION FROM ASSESSED VALUATION
2 Slate Form 43709 (RB / 2-07)
�� �eia 1 Presrnbed hy DeOanmenl af Local Govemmenl Finance
File Mark
(NSTRUCTIONS:
ro ae e�ea r� ��� o� ay maa Wrtn u�a co�nrya�a��o� d me co�,ny Wnare �e ��ny �s �ocared. MAY 0 S 2008
Fdin9 Dates: 7) Real Property: Dunng the 12 months 6elore June il W tha year the deduthon �s to be elfective.
2) Mobile Homes assessed under IC 61.1-7: BeM�een January 75 and March 2 ul the year Bie deducU��Q, be eNec '`ve
See reverse side (a additronal insWCtions and quali(cations. Q�la ±y �i.�
C/ C/
Applicarri(o r�mnhaG r-seere ' "ms versesitle)o .
Q
Tabn i �� Key number / e9al d§saiptlon �„ . Remr�number Pa9e numqer
Pcsassetl value ot real poperty as a Martl
I�hat is his I her exad share of inten
If �ame on recwtl is diRgenl Ihan Nat of ��
Name of mortqagce or cmtract seller
!
Address of mortgagee w mnlrad seller (i
Name af assigrree or atha v.vner a hdder
Atldress of asvgnee (mm�bei aM sUee1
Daes applicaM own praperty in arry dher
counry in Ind�are?
DYes ❑ No
�9e/(
artenlyear
indiple below:
stafe. arrd ZIP ca0e)
oi martga9e
dty, slate, and ZIP ootle)
If yes,
asofMarc��� Islhe
Ifawned
Ta�dng Disinct?
Yes � No
spouse, indicate wilh whom.
he property in ques6on:
Real ProceM ❑ Mabile Har�e
reQUes�ed on property
❑ Yes ❑ No
, _ _ . _ _ _COUNTYAUDITOR
Deduction appm �
p� Dra�r•er NO.���1.:.���� Zo zo_ zo_
59�� ill�(i �rO. Counry Daie(+mnfh.daY.Y��
.........�..... �� ..
I I We certif �//'//�/ �V� �8(,/ •�� ��^ ��e and corteci and ihat the applicant5 was / were a resident of
Indiana anc _...._. _. _._ _._.�1. . '
c:.,,����.o r��..,ore nm�.,�i Date (mmlh, daY• Y�A
���sitlent address o( applicanl (number and s4aet, city. state, and ZIP mde)
%C7 `{ /✓la i n S f. %»a-�o ,�q T.✓ �-/766 6
Pason aWMnzed by Ouy enewted Power of Attam w by IC 61.1-12-. 7
Address of aulhor¢ed peism (n�mbei aiW streeL dty, stafe, arM LP co0e)
Dale (manfh. day, yea�