HomeMy WebLinkAboutMortgage_Spitler.�.-"--'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
;. FOR DEDUCTION FROM ASSESSED VALUATION � �� J
. State Fwm 43709 (RB / 2-07)
�0�� •� Presaibed by Departmenl of local Govemmenl Finance
�r,sraucr�or,s: DECF'�F �Pa'1`008
To be lled in person or by mail wdh fhe CounlyAudifor o/the county where fhe pmpeAy is loceted. -
Fding Dates: 1J Real PmpeAy: Dunng [he tt months be%re June 17 0/ fhe year fhe deducGOn is to be eAec6ve. _ �/
2J Mobile Homes assessed under IC 6-7J-7: Behveen January 15 and Maich 2 0l fhe year the deduc6on is to �eB�tip�qs�ti^�
See reverse side /or addi6onal instmctions and quali(cations. �f v _
Appicant (o ner or ronhad buyer- resfich'or�s m erse siee) �
4�
ia Oisintl Key number / I al desviption
i1�r.�er-�- - a.-o� -. ,Yoo-,�
hssessed value of real poperty u of March 1, aarent y�r Mongaga / ConVac
anentyear �
riame on record is ditFerent �han Nai of applicant, irdinle below:
Name of morigagea or cmLact seller
mortgagee w mnUad seller (numberarrd 4reef. tity. sfate. arM ZlPcrode)
signee a other o.vrrer o� holder ot matgage
asvgrree (manber eM sUeel. dry. 9afe. aM ZIP oode)
Dces applicanl own propeMy in eny dher
ca,�y N �naianaa
❑Yes ❑No
apprwetl in lhe amount of:
Zo Q�L I zo _ I 20 _ I zo
- o a�8 a-Oo'l S`�
�id as o1 March 1, Is ihe appfimnl iha sda legal w equitade wvnel?
���'7 � h ❑Yes ❑No
with someone dhAr than spouse, indicate vrith xiwm.
�Is Ihe opeM1y in quesUOn:
I Properry ❑ Mobile Home
Drawer]�,� .�0� —
Card�'o...3ysy ..
�<'� �#��9 ao' � • • .
— -� �'<'1�Z
zo I zo _
tlay, yeaA
�
❑ No
zo _
I/ We certify under the penalry of perjury that the above and foregoing infortnaGOn is true and mrrect and thal Uie applicants was / were a resident ai
Indiana and owner of the atoremenuoned property on March 1, 20
of applii�anl (num6ei an0 street. city. state. aM Z!P
.Z�v �� %� �i
Person authorizetl by duly executed
a
persm (num6eraMSfreet.city.state.arMZlPaode)