HomeMy WebLinkAboutMortgage_Alkire.t�—'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
�,, ._ FOR DEDUCTION FROM ASSESSED VALUATION �
State Fartn 43709 (R8 / 2-07)
�� 1 Presaibed by Department of Local Govemment Finance
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File Mark
INSTRUCT/ONS: ' 1
To be (led in person or by maJ wdh fhe CountyAuditor of the cowty where the property is located. � E� 1 j Z008
Fding Dates: 1 J Real Property: Dunng the 12 months before June 11 0/ fhe year the deduction is to be e77ective.
2J Mobile Homes assessed under IC 64J-7: 8etween January 15 and MarcA 2 o/the year fhe deduc6on is fQ eflective. .
See reverse side /w addilional inshutfions arrd qualific fr ns. �a�., ,��
_ �iAAtu� r�ao.,.�..Q �%
Taprg Dislnd - � _I Key
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Assessed value of 2al propertj as af Mardi
Y��
� I I l Y �
If name on recard is d'Aierenl Ihan �hal of applican�, indipte below:
Name of rrarlgagee or conUacl seller
mortgagce w mnlraG seller (number and sfraet dty, state,
�.signee p dher oarrer w lalder of mortgaga
Adtlress of assignee (nirn6ei aM s7ee7, dty. slat ,
i
Does applicanl own pmperty in any other
cwnry in Indianal
❑Yes ❑ No
icGOn appioved in the amwnt of: !
1 ,
2p 8 8 20 20
'p
3W ra of Counly Audilor
as ot March 1, � Is Ne applipnt Ihe sole legal a equitade wme/1
If owned wM sortieone alher than spouse, indicate wiN whom.
DI'a14'CI' 11'�.. ��!l/U
..........
Card NO. .....���
� 9a, 7� � � . . . .. . . . .
20_ � eu
❑Yes ❑ No
Is ihe properry in quesGOn:
❑ Real Properly ❑ Mobile Home QC 61.1-7)
Has ihrs am�a�, eae� reques�ed o� a�aero
for curtent yeaYl
❑ Yes ❑ No
20
Date (manfh, day, yee�
20
I/ We cerOfy under [he penalry of perjury that the above and fwegoing information is We and correct and that tlie applicanis was ! vrere a resident of
Indiana and owner of the aforementioned property on March 1, 20
�nature (owne/ � � Dala (month. tlaY Y��
�v adtlress of applicaM (number and sGeef. ci(y. slate. aM ZIP wde)
� ![ a 1 E t9L �,, 5 fs�e.-� �ru aCfDn ..=il/ �P 7 6� r�
Ntwney or by Ic
of aulhorized persm (number anE sheeL
osie (mmu,. dar. r�n