HomeMy WebLinkAboutMortgage_Reeves�.sP4� STATEMENT OF MORTGAGE OR CONTRACT
a�.= INDEBTEDNESS FOR DEDUCTION FROM ASSESSED
' VALUATION State Form 43709 (1-90) Prescribed by the
'.• ' State Board of Tax Commissioners
�
Instructions for filing:
To be filed in person or by mail with ihe County Auditor of the county ��here the
property is located during the 12 months before May 11 of the year the deduction
is to be effective. See reverse for additional instructions and qualifications.
Filin fee $1.00
ounty Township Year
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OCT 0 J 1998
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GIBSOY i:CNP+TY P.UDiTC.� �
Applicant (Ow r or contract buyer - see restr ctions on reverse)
Taxing District Key Nu ber/Legai Description Record No. C� g
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Assessed value of real property as Mortgage/Contraci Indebtedness unpaid Is the applicant the sole legal or
of March 1, current year as of March 1, current year. equitabfe owner? O yes ❑ no
ooaa
If no, what is hislher exact share or interest? If owned with someone other than spouse,
indicate with whom.
If name on record is different than that of applicant, indicate below:
�'�me of mortgagee or contract seller
A dress 4f mortgagee or contract seller
Name of Assignee or other owner or holder of Mortgage.
Address of Assignee
Does applicant own !eal property If yes, what county? What Taxing District? Has this deduction been
in any other county in Indiana? requested on property for current
year? ❑ yes ❑ no
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount oi:
19 — 6 i� 19 19a QQ.�L -�9��� 49"� 19 O y 1�5' �0O S
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Signature Secretary of Board of Review Date
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I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
`s was/were a resident of Indiana and owner of the aforementioned property on March 1, 19
atu wners full name) Person authorized by duly executed Power of Attorney or
�,�� I by IC 6-1.1-12-.07).
ull Resident Addres Aplicant Address of Authorized Person
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