HomeMy WebLinkAboutMortgage_CraigSTATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
�. / State Form 43709 (RS / 4-03) � � � J � �
Resaibed by Department of Loral Govemment Finance �
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INSTRUCTIONS: JUL � Fif�M�rk
To 6e �led in person or by mail with the County Auditor of the county wAere the property is located"` �
Filing Dates: 1J Real Property: During the 12 months before May 11 o7the year the deduction is t0 be eHectiv_e. /�
2) Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 obthe yeaiYhe deductioo-is�to/!be-e� ctive.
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See reverse side for addifional instructions and qual�cations.
Applicant (ownerorcontrac buyer- see� stnc o s on reverse side),_ /� �
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Taxing District K num er / legal description rd number
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�r _� a a / q_� Page number
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Assessed value ot real property as of Mortgage / Contrad indebledness unpaid as of Is the applicant the sole legal or equitable
March 1, curtent year March 1, current ye2r owne(? �es ❑ No
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If no, what is his / her exact share of interesl? If owned with someone other lhan spouse, indicate with whom.
If name on record is different than that of applicanl, indicate below: Is the p erty in question:
eal Pmpeiiy ❑ Mobile Hane (IC 61.1-�
�ame of mortgagee or contract seller
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Address of mortgagee or contract seller (number and street, city, state, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (num6erand st�eet, city, state, ZIP code)
Does applicant own property in any other If yes, what county? \Nhat Taxing Distrid? Has this dedudion been requested on
county in Indiana? property for wrrent yeaRQ Yes❑ No
�OS NTY AUDITOR
Deduction approve the amount of:
20 20 20 � 20 9 20 20 20
V T I
Signature County Auditor Date
I/ We certify under the penalty of perjury that the above and foregoing information is true and corred and that the applicants was / were
� resident of Indiana and owner of the aforementioned property on March 1, 20
S' n tur o rs full name) r Person authorized by duly executed Power of Attomey
� or by IC 6-1.1-12-.07
il resident address of applicant Address of aulhorized person