HomeMy WebLinkAboutMortgage_Maikranz (2)`O�° STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
-- : FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
S / $late FOrtn 43709 (R4/16-01)
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Prescribed by Depariment of Laal Govemmem Pinancz
SEP i 2 2002
INSTRUCTIONS: � File Mark
7o be filed in person or by mail with the County Auditor ol the county whe2 the property is locateI� �
Filing Dates: 1) Real Property: During the 12 months 6e%ie May 11 01 the yea� the deduction is��be�e �
2) Mobile Homes assessed under IC 6-1.1-7: Behveen January 15 and Maich 31 o�t7eFy�ar�t,� _ educti5�,rrj� , eNective.
See ieverse side (or additional rnstructions and qualificafions.
Applicant (owner or contract buyer - se restrictions on reverse side)
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Taxing Disirict y number / iegal description Record number
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Page number
9-�a799-�
Assessed value of real property as of Mortgage / ContreU indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, curtent year March 1, current year owne(? ❑ Yes ❑ No
ysyoa
I( no, what is his / her exact share of interest? Ii owned with someone other lhan spouse, indicate with whom.
If name on record is different lhan that of applicant, indicate below: Is the property in question:
❑ Real Property ❑ Mobile Home QC Cr1.1-�
�ne of mortgagee or contrad seller
�
Address of mortgagee or contrect seller (number and st�eet, city, state, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (number and sbeet, city, state, ZIP code)
Does applicant own property in any other If yes, what county? What Taxing Distrid? Has this dedudion been requested on
county in Indiana? property for current year?�] Yes� No
COUNTY AUDITOR
Deduction approved in the amount of:
zo zo �/y_ zo Q� zo � zo Q� 20 � zo o q
�PrA�v • � /� � �'
Signature County Auditor Date
We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicants was / were
.:esideni of Indiana and owner of the aforemenlioned property on March 1, 20
ign re (owners (ull na e) Person authorized by duly executed Power of Attomey
or by IC 6-1.1-12-.07
resident address of applip Address of aulhorized person
Se �n4�-� S. Pr�� c