HomeMy WebLinkAboutMortgage_Riddle.�* °'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
State Fortn 43709 (RB I 2-07)
�' �� Presmbed by Department of Loral Govemment Firence
File a
INS7RUCTIONS:
To be filed in person or by mad wdh Me CountyAuditor W the county whe2 the pmperty is Ixated. NIQY 2 1 ( � Q�
Fding Dates: iJ Real Property: Dunng the 12 months be%re June 17 W the year fhe deduction is to be eRec6ve.
2) Mobile Harnes assessed under IC 6-7.7-7: Behveen January 15 and Maich 2 0( fhe year Me deductiar is tabe eflec6ve.
See reverse side fa addiGOnal insWc6ons and qualificatbns.r, , _ /f�¢� ,��
qpp�irain (owne� �
Key
real property as aF Mardi 1. anent yFSr I Mortgage / C
anrent year
�rhat is his I her ecad share of
If name m recad is Ai(}erenl Ihan Ih
Name af mor�gagee or cantra�'1 selle
bNow:
Address of moM1gagee a canirad seller (rwmbrr aiM street.
Name o! assigr�ea a dher owner w M1
ea
Address of assignee (numbu a�M e
Does applifsnl wm poperty in arry
oounry in Intliana? C
❑ Yes
DeduUion approved in the amaunt oF:
20 �� 20 Q
I I We certi� under �
Indiana and owner o
i� e e/sfidlname)
svdart address of
mortgage
arrd ZIP code)
AUDITOR
Recortl wm Page numbe�
� o�. s�-oa� � Sa
�ess unpaid as M March 7, Is ihe appGpnt Ihe sde legal or equifade owne(:
Ov ❑Yes �No
If owned wi�h someone W�er ihan spouse, indicale wiih whom.
'_ _i �W�rt. .... —
lll':1\\'CI' \�.....
�5a .....
C:11�(� �q. ................
�# 91,t�y�-
('y�t r�l'°,��`,c�`""
20 I 20
lisirict?
20
is
Real Progert� ❑ Mobile Horne QC 61.
Has Ws tleduaion bceri requestetl on property
ra a,R�n yean
❑ Yes ❑ No
20 20
Daie (qpnt(�jay, y,e9�' ^
/�� i oLi'(.J
�alry of per�ury tliat the above and fwegoing infwmation is true and correG and that the applinnts was / were a resident of
atwementioned propeAy on March 7, 20
Pason aulhwaed by AuN ��led Power of Altamay � by IC
Address of authw¢ed persa+ (num6ei and sheet aty. sfate. a
Oate (monlh. day. yea�