HomeMy WebLinkAboutMortgage_Barton (3)`° R"'° STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
',`"° � FOR DEDUCTION FROM ASSESSED VALUATION
S y Slate Form a3709 (R4 ! 10-07)
�a.
� Prescribed by Department of Local Govemment Finance
INSTRUCTIONS:
To be filed in person or 6y mail with the County Auditor ol the county where the propeRy is locatetl.
Filing Dates: 1) Real Property: During the 12 months be%re May 71 of the year the deduction is to be e/fectiv� AN 2 4 ZI�02
2) Mobile Homes assessed under IC 6-1.1-7: Behveen January 15 and March 31 0/ the year the eduction is to e eflecfive.
See reverse side for additional instructions and quali�calions. � , /�j /J �
(owner or contract
Assessed value of real property as of
March 1, cunent year
If no, what is his / her exact share of interest?
on
Key nurp(qkr / legal description Rewrd number
��
Q) - pn gab � Page number
Mortgage / Contract indebtedness unpaid as of Is lhe appli
March 1, current year owner?
If name on record is diHerent than that of applicanl, in
�e of mortgagee or contract seller
Address of mortgagee or contract sel (number and
Name of assignee or other owner or holder of
Address of assignee (number and street, city, state, ZIP
, � i
� me so�e iegai or
❑ Yes ❑ No
If owned with someone olher than spouse, indicate with whom.
city, state,
Does applicant own property in any other I If yes, what county? What Taxing Distrid?
county in Indiana?
Deduction approved in the amount of:
20�� �� I 20
COUNTY AUDITOR
20 20 �,� 20
� �
County Auditor
s the property in question:
❑ Real PropeAy ❑ Mobile Home
Has this deduclion been requested on
property for curtent year? 0 Yes ❑ No
20
Date
� 20 �
P �
certify under the penalty of pe�ury lhat the above and foregoing information is true and correc[ and that the applicants was / were
lent of Indiana and owner of the aforementioned property on March 1, 20
lull
4
Person authorized by duly executed Power of Attorney
or by IC 6-1.1-12-.07
of authorized person