HomeMy WebLinkAboutMortgage_Trowbridge.�:^_� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
$k_. _� FOR DEDUCTION FROM ASSESSED VALUATION
State Fam 43709 (R8/ 2-07)
''. . , --
,�h Presmbed by Departmenl of Local Govemmenl Finance -
INS7RUCTIONS: �'
To be filed in person o� by mad wdh the CountyAuditor o/ the county where the pro y�� �ocaced.
fi7ing Dates: 7) Real Property: During the 12 months before June 11 0l the year the ut6on is ro be effecGve.
2) Mobile Homes assessed under IC 6-1.7-7: Behveen January 15 an �rch 2 0( fhe year the deducSon is to �ec}iv� Z Q 08
See reverse side for addifional insWctions ard quali�cations.
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npq�ram (ownei or conhacf buyu - see resYn s m rev rse si ) 6�
v ��B ��
Tap g 'ct Key,wmber I I al desrnption Recotd number
ol-�i7- '00�. 18�f-��
Pssessed value of real popaty as d Marth 1, aarenl year Mortgage I ConUaG indebtedness unpaid as of March 1, Is ihe app6canl �he sole legal a equi�aMe owne(1
airtent year /�OOQ^ ❑ Ye5 � No
lJ
whal is his / her ezad
seller
If owned with sortieme Wl�er lhan spouse. irWicate with whom. '
indiple below: Is U�e property in queslion:
� ❑ Real Pmperty ❑ Mobile Home QC 67.
AdOress of mongagee w oonUacl selier (number arid slreet, dly, state,
Name of assg�e or Wher rnvner w haltler of mortgage
Address of assignee (rn�m6u aiM sfreet, city. 9ate. aria
Does applicant own (xoperty in any oiher
courqy in IndareT
❑ Yes � No
Deduction approved in lhe amounl of:
20 _ 20 _
3iooaW�ePfC-uuntYAuditor /� �/
code)
I( yes, what county?
20 _
VJhatTacing
COUNTY AUDITOR
20 _
Counry
O� 2��.
;Uict? Has lhis tledudion been requested on property
for aRenl yea/+
❑Yes ❑No
20 20 20
I I We ceNfy un r penalry of ury Hiat Ihe above and foregoing infortnation is we and cortecl and fhat Ihe applicanLS was I were a resident of
Indiana and o f the aforem oned property on March 1, 2b
�reWre(owneCSlWlnamel � Date(mmrth.daY•Y��
address of applic2nt (num6c4-awd"af+e61. nly. stale, aiM ZI{' wtle)
�� 5� f=;•s�' Si- P�;�.«-lo�. tiTN 476�
n¢ed by du�y executed Pawer of Ntortrey or by IC 61.142-.07
Nhoraetl person (numbei aM shee4 �Y. state. and ZIP oode)
day, yea�