HomeMy WebLinkAboutMortgage_Stafford.� "'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
�.: � FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R8l 2-07) '
�0�;; •� Presaibed by Depanment of Local Govemment Finance
I
INSTRUCTIONS:
To be filed in person or by mail wRh the CountyAuditor o/ lhe courqy whera the propeRy is locafed. � /� PiZ � 3 Z�09
Fding Dates: 7) Real Property: Dunng the 12 monfhs be/ore June 71 0) the year the deduction is to be eNec6ve.
2) Mobile Homes assessed under IC 6-1.1-7: Befween January 15 and March 2 0/ the year the deduction is to be eflective.
See reverse side /or additional insWcGOns and qua/ifications. � n/ . �'jj 4�v
Applicanl (owner or
pmperty az of MarU 1, amenl year
his / her azacl5hare of inleresll
If �me m recwd is ditFerent than Ihat of applicaM, indinte below:
Name ot mortgagee or coniracl seller
w mnUaG sellel (iwm6er arM
w alhar owrrer a lroltler ot mwlgage
Atltlress of assigriee (munber eiM sLeeC city, stafe.
Dces applicanl own property in arry other
counry in Indiana? - - _
❑ Yes
-303- .oa�-oa�".°.�°� � � ����
1 indebtedness unpaitl a of March 1, Is Ihe app6ont tha sde legal a equitaWe o.meR
❑Yes ❑No
If owned with sommne dher lhan spouu, indicate with whom.
Is 1he ploperty in quastion:
❑ Real Property ❑ Mobile Home OC 61.
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yea, whffi cwnry� VJhal Taxing D'u' ,��\ `
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Deduction apprwed in the art �, O/ ; /� /(/
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Indiana
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al f perjury} Me above and fwegoing infortnation is true and oortect
wemen6on�6 p erty on March 1, 20 _
�d/ent address ot applicant (number ana strfet city. slate. aM ZIP ootle) � �`�
6�J� 5. �5%% Sf . P�in�-�-�° i`� �"1�.� 7 �
aulhorized by Ouly executed Power of Nbmey or by IC 61.1-12-.07
� M aulhw¢etl persm (number aM sheeL aty. slete. arM Z/P ootle)
uested on property
� Yes ❑ No
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