HomeMy WebLinkAboutMortgage_Schrodte`°�'�� � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
'+,"-' "s FOR DEDUCTION FROM ASSESSED VALUATION
� �, �J Slate Fotm 43709 (Ra I 70.07)
�� � Prescribed by Depanr.�eN of Local Govemmem Pinance -.„
INSTRUCTIONS:
To 6e filed in person or by mail with the County Auditor of the counfy whe2 the propeRy is focated.
Filing Dates: 1J Real P�operty: During the 12 months be%re May 11 0l the year the deduction is to be ��iv� j�QOZ
2) Mobile Homes assessed under IC 6-1.1-7: Behveen January 15 and March 31 0//th'�e year the ded/uc/tion is to 6e eflective.
See �everse side for additional instructions and quafifications. // . /(�, n /)
Applicant w erorcontractbuyer-s
�i
Taxing Dis r'
1 Wr'
Assessed value of real property as of
March 1, current year
on reverse
Key number / legal description
GIBSON
number � �
�l 1- b 1 g8y^"' `� Page number 0� n
y
Mortgage / Contract indebtedness unpaid as of Is the applicant the sole legal or
March 1, current year owne(? ❑ Yes ❑ No
• v v
If no, what is his / her exaci share of interest? If owned with someone other lhan spouse, indicate with whom.
If name on record is different than that of applicanl, indicate below: Is the property in question:
❑ Real Property ❑ Mobile Home (IC 61.1-�
�me of mortgagee or contraIX seller r' �
J
Address of mortgagee or contrad seller (number and street, city, state, ZIP
Name of assignee or other owner or holder of mortgage
of assignee (number and st2et, city, state, ZIP code)
Does applicant own property in any other I( yes, what county? What Taxing Distrid? Has this deduction been requested on
county in Indiana? property for current year? � Yes ❑ No
20 D�?
SignaWre
approved in the amount of:
20 O '� 20
�
COUNTY AUDITOR
20 � I 20 f�'%
�
County Auditor
20 Q� 20 � y
� �
' We certify under the penalty of perjury lhat the above and foregoing information is true and correct and that the applicants was / were
resident of Indiana and owner of the aforementioned property on March 1, 20
of
Person authurized by duty executed Power of Attomey
or by IC 6-7.1-12-.07
ofauthorized person