HomeMy WebLinkAboutMortgage_Armstrong (11)/e� �� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
'i' FOR DEDUCTION FROMASSESSED VALUATION Couni Tovmship Year
�;«. / State Fortn 43709 (R6 / 5-06) ' . • .
Presoibed by Depertmenl of Lofal Govemment Finarice
To be �U �TION �on or by mail witb the CountyAuditor of the county whe�e the property is l�d.� ��tl�
Filing Dates: i) Real P�operty: Dunng fhe 12 months 6efore ,lune i 1 of lhe year lhe deduction is to be effective.
2J Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 0/ the��,r the ���n is to be e8ective.
See reverse side for additional instnictions and qualifications.
`�1�., .Qd.,�
(owner or contract
Distrid
see 2strictions on r�yer�e side)
Key number / legal
number 0 ^7
�
a�_I�I�_2�'�� `�� genumber �70
J
Assessed value of real property as of MoAgage / Contrad indebtedness unpaid as of Is the applicanl the sole legal or equitable
March 1, wrtent year � March 1, current year � ownef? ❑ Yes ❑ No �
,: .
ai��
If no, what is his / her exad share of interest? If owned with someone other lhan spouse, indicate with whom.
If name on record is different fhan that ot applicant, indicate below: Is the property in question:
❑ Real Property ❑ M�ile Home OC Cr1.
of mortgagee or contrad seller
Addresa of mortgagee or contrad seller (number and
easignee or ofher owner or holder of mortgage
of assignee (number and street, city, state, ZIP code)
Does applicant own property in any other If yes, what county? What Taxing Distrid?
county in Indiana?
Deduction approved in the amount of: DCg��'er �To��� �: �T.G. p
, ,�
Signature
zo�� zo_ Card n0.
P � � ��
.�;��,. Goa. o �
Has this deduction been requested on
properiy for current yeaR � Yes ❑ No
20
Date
�
certify under the penalty of perjury that the above and foregoing information is true and corred and that the applicants was / were
lenl of Indiana and owner of the aforemenlioned property on March t, 20
of
Person authorized by duly executed Power of Attomey
or by IC 6-1.1-12-.07
Address of authorized person