HomeMy WebLinkAboutMortgage_Knapp (2)� STATEMENT OFMORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
�. ,«. ! state Form a3709 (R5 / a-03) ' . �� . , ; - � } � . _ ' � . . • �
� PresaiEed by Department of Local Govemment Finance ���? E� � j'
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INSTRUCTIONS: MqY FiIJ M��
To be �led in person or by mail with the County Auditor o/ the county where the property is located. cuu
Filing Dates: 1) Real Property:� Dunng the 12 months be(ore Mey 11 0/ fhe year the deduction is to be e(/ective. /�
�2) Mo6ile Homes assessed unde� IC 6-7.1-7: Between January 15 and March 2 o/the �ear the deduction%is to be ef(ec vG e.
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See reverse side for additional instructions and qualifications. ' G:8Sr3i! COUtv7Y �,����17C" .
Applicant (own or contract buyer - s restrictions on re erse side)
Tacing Districf . Key number / legal d s ption Record number �
I_-�.� -I"11 Q� � D' lQ s C',�,hO Page number �� �
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Assessed value of real property as of MoAgage / ContreU indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, current year March 1, current yeer ownef? ❑ Yes ❑ No
If no, what is his / her exact share of interesl? � If owned with someone other than spouse, indicate with whom.
If name on record is different than that of applicant, indicate below: Is the property in question:
� � ❑ Real Property ❑ Mobile Home (IC 61.1-�
�ame of mortgagee or conlrad seiler �
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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 (number and street, city, slate, Z!P code) .
Does applicant own property in any other I If yes. s:fiat county? I l^lhat Taxing District? Has this dedudion been requested on
county in Indiana? � property for current year?� Yes❑ No
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COUNTY AUDITOR
Deduction approved in the amount of:
zo �_ za 2o za � zo � zo 0 9 20
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Signature County Auditor Date
/ We ertify under the penalty of perjury that lhe above and foregoing information is true and corred and that ihe applicants was / were
re� ent of Indiana and owner of the aforemen�ioned property on March 1, 20
ture (owners (ull name) , Person authorized by duly executed Power of Attomey
� n or by IC 6-1.1-72-.07
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II r sident ad ress o plicant Address of aulhorized person
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