HomeMy WebLinkAboutMortgage_Greere�� � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
i' = FOR DEDUCTION FROM ASSESSED VALUATION
•.,. w J Stale Form 43709 (R6 / 5�06)
� Presaibed by Departmenl of Loral Gwemment Financa
INSTRUCTIONS:
Co Township Year
MAY 0 9 2007
File Maric
To be filed in person o� by mail wfth the County Auditor of the county where the property is /ocated. �-y,,
Filing Dates: 1) Real Propeity: Dunng the 12 months be(oie June 11 of the year the deduc6on is to 6e effecSv�'(6 �
2) Mo6ile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 of the yeaq�j��c�c�o���$�tive.
See reverse side for additional instrucfions and qual�ca[ions.
Appli (owner or cont2ct buyer - restnctions on reverse side)
Taxing Distri Key number / legal description Record number O�
/ /�V F�a-l/-/,3-a0Y-OLll•9�.3-�3-8 Pagenumber .J 7 � I
Assessed value of real property as of Mortgage / Contract indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, current year March 1, current year owner? Q Yes � No
33 o�v
If no, what is his / her exact share of interest? Ii owned with someone other than spouse, indicate with whom.
Ii name on record is dif(erent than that of applicank indicate below: ' Is the property in quesdon:
❑ Real Property 0 Mob�e Home QC G1.1-7)
�-ne of mortgagee or contract seller �/� —
�ress of mortgagee or contract selier (numb�r and street, city, state, ZIP ���� G'wG��Y
Name of assignee or other owner or holder of mortgage ��/�
b�, «
Address of assignee (number and street, city, sfate, ZIP code)
Does applicant own property in any other If yes, what county? What Taxing Dishict? Has this deduction been requested on
county in Indiana? property for current year? Q YesO No
COUNTY AUDITOR
Deduction approved in the amount of:
20�Z 20 U 20� 20 20 20 20
� � P
Signature County Auditor Date
I I We certify under the penalty of perjury that the above and foregoing infortnation is We and cortect and that the applicants was / were
�sident of Indiana and owner ot the aforementioned property on March 1, 20
5i nature (o�vners full name) Person authorized by duly executed Power of Attomey
�v ,- o� bY ic s-,.,.,2-.0�
Full resid add ss of applicant Address of authorized person
�