HomeMy WebLinkAboutMortgage_Maier (4).• °'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
Sate Form 43709 (R8 / 2-07)
�' � Presaibed by Departmmt d Local Govemmenl Finance
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INSTRUCTIONS: � � � �
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To 6e filed in person or by mail wrfh the CountyAuditor oJ the county where the property is located.
Fding Dates: 7) Real Property: Dunng the 72 months before June 11 0l the year the deduction is to be a c6ve.
2) Mobile Homes assessed under IC 61.1-7: Behveen January 15 and Maich 2 0( fhe year tl�e deduc6on is to be effective.
See reverse side (oi ad�itional insWcfions arnd qualifications_ • A P R 2 5[ 008
Apqicant
see resMcfions m
number
rWue of real propeM1y a5 of Martit 1. ar�enl yeNr
If ro, whal is h�s l her e:aU share of Inferesl"!
� m recortl is diReren� ihan Ihat of applicanL ��diple below:
Nama ot naAgagee or conUaU seller
Address of rtroAgagee w
Nartre
(number arM stree( dty,
w,ner w naaer ur maigage
entl
�
dasv9nee(numbe�andstree'\•._._'_ _-."'_ _.
licamownpropertyinanyath� ; Dra�V�.'1����.�o�
Indiana? � . ••••••••• • •
❑Yes � N �
�
number
as of Alarch 1. I�Is Ihe appGqnl lhe sde Iegal a equitahie mme(?
❑ Yes ❑ No
Ih somerne alher Uwi spouse, i�cale with whom.
' Card NO. .......y ..' .......00
approved in the amwnt of: ,�(�j(,(,w(,(,p,� %�4�/ �f ` G is 7.
Zp � I Zp � I 20 — I 2b _ I 20
Is V�e property in quesGon:
�Rea� Pfooertv _ O Mod�e t+ane pc Gt.t-7)
98-3�3
Has lhis tledudirn bcen requesled on property
for arrenl yeaR
❑Yes ❑No
20
20 _
� Wr f ryA.i:�Y �/lY_l � I Caunty I o� (��`r� J�I��
/�
I/� We�ertfy un r penally of rjury that the above and foregoing information is We and cortect and that ttie applicants was 7 were a resident of
Indi nd ovmer of the afwemenGOned property on March 1, 20
�� ( ��) � Date (rr�mfh�ay yea�
��� j= S
,�d dd s of nl um i�d shee(, d[ , sta antl ZIP codeL
� �l � . �.�
xson auUrorized by duN e:eailed Power of Ntomey or by IC G7.1-1T-.07 � Oate (manN, day, yea�
ldrus of auUw¢ed persan (numbe� arM sfreet, uf}: sfate, arrd LP ootle)