HomeMy WebLinkAboutMortgage_Wolfe�;�* � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
+' FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
� /' State Fortn 43709 (R6 / 5-06) �
Presaibetl by Department of Local Govemment Finance
iNSrRUCnoNS: �AN g;,�ti�;p7
To be fi/ed in person or by mail wifh the County Auditor o7 the counfy where the p�operty is /ocated.
Filing Dates: 1) Real PropeRy: During the 12 months before June I t of fhe year the deduction is to 6e eflective. /�,�!�
2J Mobile Homes assessed under IC 6-1.1J: Between January 75 and March 2 o/the year fh �eductioh"Is'�to''be eflective.
See reverse side fo� additional instructions and qualifrcations. p�g30N COUNfiV AUd���
Cd
Taxing
see
Assessed value of real properiy as of
March 1, current year
H no, what is his / her exad share of
If name on
u qe{ rev_erse sdR) ,
.�ti ki �ri �x
Key(pGmber / legal �kscription
2G-�� -08-ao3 -ooa.9/Soa�
Di�-Da�is^a?
Mortgage / Contred indebtedness unpaid a�
March 1, curtenr ,.,.-_ _
than that of appliwnl,
moAgagee or contrad seller
Address of mortgagee or conVact seller (number and
���
/eay,U,��,,,������
(�"'" ""
Name of assignee or other owner or holder of mortgage
Address of assignee (number and street, city, s[ate, ZIP code)
state, ZIP
Does applicant own property in any other I If yes, what county? I What Taxing Distrid?
county in indiana?
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 �_ 20 Q� 20 20
Y r �
Signature County Auditor
Record number
Page number
Is the applicant the sole legal or equitable
owneR ❑ Yes ❑ No
ian spouse, indicate with whom.
� neal Property ❑ Mobile Home (IC 61.1-�
Has this dedudion been requested on
property for cunent yea(? � Yes ❑ No
20
Date
�
We certify under the penalty of perjury ihat the above and foregoing infortnation is true and corred and thal the applicants was / were
resident of Indiana and owner of the aforemenlioned property on March 7, 20
(owner's (ull name)
Person authorized by duly executed Power of Attomey
or by IC 6-1.1-12-.07
a�ent � res�applipnt IAddress of authorized person
S