HomeMy WebLinkAboutMortgage_Hull (4).� °•� STATEMENT OF MORTGAGE OR CONTRACT INDF
,�_ .. _' FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R8! 2-07)
�O � Presoibed by Departmenl of Local Govemmenl Finance
Coun Township Year
� � LJ
File Mark
�NSrnucnoNS: AUG 4 2008
To be filed in person w by mad wdh the CountyAuditor o/ the county whera the properfy is located.
Fd'mg Dates: 1J Real Properfy: Dunng the 12 months be/ore June f1 d the year tlre deduttion is to be etFective.
2) Mobile Homes assessed under IC 6-7.1-7: Between January 15 and Maich 2 0( the year the deduclion is to be`eiF�cJjye. ��
See raverse side (w additional instr�ctions aiW qualifications. �� �`�
me
i� �- p- p0/. i0,� - Da.�
rahie of mal propnly as of Mard� 1, anent year MMgage / ConUad indebledness unpaid as of Maich 1,
airterrtyear �� OO
O
rt is ha / her e�cact share of iMeresl? If rnme0 wiih sortieone atl
record is d'rfFerenl Uian Ihat of applicani, indiqte
Name of nqr�e�agee or canbxl seller �/ � � ,f-� � „
C/i'fC?C a/ / /�
Address o� mortga9ee a mnUad seller (number d sYreet, dty. state, and ZlPCrode)
oaner or hdder d marigage
Address of assg�e (mrtMer and stieel dty, stafe,
Daes applicant wm propeny in any dhu
counry in Indiana?
❑Yes ❑ No
Deduction approved in the amwnl of:
r.i=�i��
yes,
�
VJhai Taxing [
COUNTYAUDROR
�
Reoord
S � }.
w equiUNe owne�
❑Yes ❑No
spause, indicale wiih whom.
�Is- rihe Waperty in quesUOn:
in R�I PmceM ❑ Mobile Home
6�u�� N�As �
�� I �
��-SSaa-
20 _
20 20
Oate (mmN, �ay, yea�
i/ We certify under Uie penalty of perjury ihat the above and fwegoing infortnation is We and mrred and fhat Ne appliranfs was / we2 a resident of
Indiana and ovmer oi ihe aforementioned property on March 1, 20
irueirxlowne/s h91 eamel Dale (rrmth. daY. l'��
(num6e�and � cdy, stale. antl
Petson aultroraed by duly ezealed Po�er
Address of aullqrized persm (numberaM
ci!}; stafe. and ZIP code)
Dale (manN, aay,