HomeMy WebLinkAboutMortgage_Greer (7)�v STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
-s� FOR DEDUCTION FROM ASSESSED VALUATION
s._ r
Slale Form 43709 (R812O7)
°�w,: � Aesrnbed by Deparlrt�er4 of Local GovemmeM Firiance
File Mark
INSTRUCTIONS'
To be filed in person or by mar7 wifh fhe CountyAuditor o/ the county where the properfy is bcated.
Fding Dates: 7) Real Property: Dunng the tt months belore June 77 of lhe year the deducGon is to be eRec6ve
2) Mobile Hames assessed under lC 6-L 7-7: 8ehveen January 15 and Maroh 2 of fhe yeai the deducGon �s to e e ec �ve. �
See reverse side /w addifional insWCtions arnf quali�cations.
AUG 1 4 2008
Appicanl (am w�trad bvye see raS�CI10115 M RVBlSB SdB)
� � ab-lia-��-�
value of 2al ryoperty as ol March 1, aarenl year
If ro, what is his / her exacl share of interest?
Nat
AdCress at moM1gagee ar wnUacl selier (num6u aM sG
Name of asvgnee u dher owner or hdder of mortgage
Atldress oi assignee (muMer arnd sfreef. city. 9a(e. arw
Dces applicaN awn praperty in arry olhe�
counry in Intliare?
❑ Yes ❑ No
Deduction appmved in the
= DD(� • b46 - Oa$
rtgag�/ CoriraG indeWedncss unpaitl as of March 1,
/ I! �G.� �—
dry. sfate. aM ZI ca
wunry?
Is Ihe applinnl Ne sde legal u eq�utade oane(1
❑Yes ❑No
ihan spouse, inAicate wilh whom.
Is ihe properry in question:
� Real Pioperty ❑ Mobile Home (IC G 1.
q�- ��a8
�/`�/ ' �""" ' � ' \
COUNTY AUDITOR
20 O� 20 _ 20 20 20
20
uestetl on property
❑ Yes ❑ No
20
Synawre of Counry Auditor Counry Date (mon(b, day. yeaq
I I We ceAify under the penalry of perjury tliat Ihe above and fwegoing infortnation is we and cortect and ihal �he applirants was / were a resident of
Indiana and�wr�of the atorementionedproperty on March 7, 20
SianaWre'f ne s! name) � 0 Data (month. day, yeaq
address ot applicanl (number antl s4ee1. ci(y. slafe. and ZIP mCe)
rP n aullarized by duy eneated Power of Attaney w by IC 61.1-12-.07
Address of aNha¢ed pereai (number and sfreeL aty. sfate. aM ZIP oode)
(mon(h, tlay. Yea�