HomeMy WebLinkAboutMortgage_Boyle (3).+.—"—^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
r,, .. A FOR DEDUCTION FROM ASSESSEO VALUATION
S�ate Form 43709 (R812-07)
�'';.,. � Presaibed by DePanment of Local Govemmeni Finance '��' � .�
�, File Mark
INSTRUCTIOMS:
To be filed in person or by mail wRh the CountyAudito� o/ the county where fhe property is located. �
Fding Dates: i) Real Property: During the 72 months before June 17 of fhe }rear the deduction is to be eAeclive.
2) Mobile Homes assessed under IC 6-1 J J: Between January 7 5 and Maroh 2 0l the year the deduction is to be eNettive.
See reverse side for additional insWctions and qualilcafions.
; s� reC�tions�-d�-�/T8�{' i�C,GCC�%"i �/�C�
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�rid n mber / legal tlesaiption Remrd numbe� Page number
�- ��-�a- �- o�- DOd. ��s-oa s o �
ralue of real popsty as of Mardi 1, �urent year Morigage / ConUact indeWedness unpaid as of March 1, Is Ihe app5ont Na sole legal w equifade ownef
anenlyear o
�^c-�^'-�^-r�i'A a+l. /D O ❑ves ❑ No
wha� is his / her ea�ad share of irrieresl?
name rn
Address of mortgagee a tonlracl seilel
Name of assignee w other ownar or
w," pop�rty �� e�Y ane�
�a?
❑ Yes ❑ No
Deduction
0
I I We certiy u
Indiana and ol
�naWre(owne/s
�
a�a
mortgage
the penalry of perjury
of the aforemen6one4
S
s��a. �e:
spouse.
Is the MWertY in quesGOn:
❑ Real Pmperty ❑ Mobile Home
Dia)}�ei�i�'O..�Vd�.�!/C�l _
t' CBYd 1�`p. ..
�f,�a.�,���ryz wnei oZ � /G��jG ... �m,
. �:;��� o �o
COUNTYAUDITOR -
20 _ 20 20 20 _ 20 _
Courrty
the above and foregoing infortnation is We and mrrect and that the applirants was I were a resident of
�erty on March 1, 20
(number and sLae(. cdy. stafe. and ZIP cade)
Person aulhwized by duy exewted Power of Aliwney n
person (numberand s6eet aty. slate, aM ZIP oode)
Date (monlh. day.Y9e�