HomeMy WebLinkAboutMortgage_Spindler.r °•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS To ip Year
F� _, _� FOR DEDUCTION FROM ASSESSED VALUATION
Slale Form 43709 (R8 / 2-07)
•�' � Presmbed by Department of Local Gooemment Firtance
Fi e a -
INSTRUC710NS:
To be (led in person w by mad wdh Me CourrtyAuditor o/ the courrty where the pioperly is located. �„4 ��
Fd'mg Dates: 1) Real Roperfy: Dunng the 72 months be(we June 11 0/ the year the deducGon is to be et(eUive. !�'
2) Mobiie Homes assessed under IC 6-7.7-7: Behveen January 15 and March 2 01 the year the ded���fp�eAUDITOR
See reverse side fw addifional insWctions and qualificafions.
AUDROR
Deduciion appmved in ihe amwnl ot:
Zp �� I p_ I p_ I 20 I 20 _ ' 20 I 20
SynaWre oi Counry
Date (month. daY Y��
I! We certify under [he penairy of perjury thal the above and foregoing infortnation is true and corred and that the applipnts was l were a resident of
Indiana and owner of ihe aforementioned prpperty on March 1, 20 _
luliname)
andsfreet, ctity. state. aMZIP
Pawer of Allomey or by
of aulMrrzed pe�son (numbe� arb s6eet cdy, state. aM ZIP oode)
, day, yea�
ai, �
Y��)