HomeMy WebLinkAboutMortgage_Strickland���STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
a' FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
�w� ! Stale Fwm a3709 (R6 / 5-06)
Presvibed by Department of Local Govemment Finance
INSTRUCTIONS: File Mark
To be �led in person or by mail with the County Auditor of the county where the property is locate� ��� �
Filing Dates: 1) Real Property: During the f 2 months 6efore June 11 0( fhe year the deduction is t e c e.
2) Mobile Homes assessed unde� IC 6-1.1-7: Between January 15 and March 2 of t yea s eflective.
See reverse side for additional instiuc6ons and qual�cations.
(owne� or contract
Taxing District
- see restrrctions
Assessed value of real property as of
March 1, current year
If no, what is his / her exact share of interest?
/ legal description
a �- �a- o� �
Mortgage / Contract indebtednf
March 1, curtent year
�S,DDc7
If name on record is different than that of applicant, indicate below:
oi mortgagee or contract seller
MAY 0 4 2007
��o ��
�enr.i rn11NTV AUDITOR
number O /
C�
'n�R �� 7�
as of Is the applicant the sole legal or
owner? Q Yes � No
If owned with someone other than spouse, indicate with whom.
of moRgagee or contract seller (number and street, city, state,
Name of assignee or olher owner or holder of mortgage
code)
Does applicant own property in any other I ir..e� -�-• -nty? What Taxing District?
CAUnN.in.ln.+:^_-^ � �
n �
C�J� _ /� � J � COUNTY AUDITOR
Deduct
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20 0 _ � zo zo
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Signature
Counly Auditor
Is the property in question:
❑ Real Properry ❑ MobBee Home QC G1.1-7)
Has fhis deducfion been requested on
property for current year? Q Yes❑ No
zo
Date
zo
I We certify under the penalty of perjury that the above and foregoing informatlon is W e and conect and that the applicants was / were
,;sident of Indiana and owner of the aforementioned property on March 1, 20
Person authorized by duly
or by IC 6-1.1-12-.07
person