HomeMy WebLinkAboutMortgage_McKinnon (3)i�y' � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
i' ' FOR DEDUCTION FROM ASSESSED VALUATION u T ip Year
/ SIaU Form 03709 (RB f 506) �
� M� Resoibed by Department of Local Govemment Finarxe
INSTRUCTIONS: �� ���
To be fi/ed in person or by mail w8h the CountyAuditor of the county where the propeRy is located.
Filing Dates: 1) Real Pioperty: During lhe 12 months before ,lune I1 0! lhe year the deduction is to be���e���OUkTY AUDITOR
2) Mobile Homes assessed unde� IC 6-1.1-7: Between January 15 and March 2 0l the year ihe deduction is to be eflective.
See reverse side for addifional instrucGons and qualifications.
see
Taxing
'-�"'� a b - la-1
Assessed vaiue of mal property as of
March 1, nirtent year
If no, what is his / frot
Key number / legal descriplion Record number ��
��'�w.y8 -oag Pagenumber �� ^�
,�
MoRgage / Contrad indebtedness unpaid as of Is ihe applicant the sole legal or
March 1, current year ownefJ ❑ Yes ❑ No
�3,0�
If name on rewrd is dffe�ont than that of applicant,
mortgagee q conVad seller
Address of ee w contraq seller (number and street, city,
i�°c.�.�:r� �-.���, �„
Name of a a dhet owner or holder of m ge
Address of asaignee (m�mber and s6eet, city, state, ZIP code)
Does appqcarq own papetry in arry other If yes, what wunty?
county in Indiana4
Deduclion
� •;
Signature
in the amount of:
20 � 9 20
P
If owned with someone other than spouse, indicate with whom.
ZIP
Taxing Distrid?
COUNTY AUDITOR
20
County Auditor
�
s the property in question:
❑ Real Property ❑ Mohile Home (IC 61.1-
Has lhis deduction been requested on
property for current yeaR � Yes ❑ No
20
Date
�
We certify under qte penalty of perjury that the above and foregoing information is true and correct and lhat the applicants was / were
fesid� of Indiana and owner of the aforementioned properiy on March 1, 20
// i
Person authorized by duty exewted Power of Attomey
or by IC 6-1.1-12-.07
of authorized person