HomeMy WebLinkAboutMortgage_Wilson (7).r"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year
FOR DEDUCTION FROM ASSESSED VALUATION
Slata Form 43709 (R8l 2-07)
�� : 1 Pre,mbed by Departmenl of Local Govemment Finance
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File MaAc
iNSrRUCnoNS:
To be filed in person or by mad wdh fhe CountyAuditor ol the county where fhe property is located. ,f �f N 2 � Z Q� 8
Fding Dafes: 1) Real Property: Dunng the 12 months befae June 17 0/ the year the deduction is to be eflective.
2) Mobile Homes assessed under IC 61.1-7: Behveen January 75 and Ma/ci, 2 07 the year the deduction is [o (Iective. /�
See reverse side la additional insWCtions and quaN�ations. ��v �
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Apqirani(o rWi�N/aC9YYe�-seeiestricji¢nsmre sde). � T6SDA-L
reme on
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ihat of applicanl, indimte below:
Name of rmrtga9ee ar canVacl seller
Address of rtartgagee u conUaa se
Name of assgrree v ather owner w
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�rs and sheet , state. and i
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(numbeiarMSGaet, city, �ate. andZlP
applicant own poperty in any olher
y in Indiare?
❑Yes ❑ No
Uion app�oved in Ihe amaunt of:
20 0 20
� U —�
of March 1,
someone
If yes, what counry7 Whal Texing Di:
COUNTYAUDROR
2p 20 _ 20
Counry
« eq�ntade w�nere
❑Yes ❑ No
spouse, indicate with whom.
�Is e property in question:
Real P(opertv ❑ Mobile Hwrie QC 61.
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�SoN, 5 �'"S R.C.�� �
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20 _
I/ We certify under the penalty of perjury that the above and foregoing inform3tion is We and cortecl and that the applicants was I were a residenl o(
Indiana and ovmer oi Ihe aforementioned property on Marcl� 1. 20
Sig�UUe (ov/ie�js IWI na^le) /1 � . Date (monlh, daY. Y��)
address
cdy, state, antl LP
7
duly
Pdtlress of aulhar¢ed pelson (num6er aM sheel, M}: state, aM LP coOe)
(monlh. day. 32a�