HomeMy WebLinkAboutMortgage_Wright (9)�
STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Coun ��...�;ttt�rTownship_ _ Year
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�> ♦ State Fortn 43709 (RS I 4-03) �� '� f�i
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� Prescnbed by Department of Local Gdvemment Finance 2� �� J
`"'� 4 '' 003
INSTRUCTIONS: � File Mark .
To be filed in person or 6y mail wiih the County Auditor of the county where the property is located. � � ���, /�{/� ///�
Filing Dates: 1J Rea/ PropeRy: During the 12 montbs before May 11 of the year the deduction is to be effective:;; -'�J/1'✓%�� _`L`-'--t"
otiV�J f"1���. r�,
2) Mobile Homes assessed unde� IC 6-1.1-7: Between January 15 and March 2 of the year the deduction �s to 6'e'efleciive.
See reverse side for additional instructions and qualifications.
Appiicant (owner or contract 6uyer- see resfrictions on reverse side)
Taxing Distrid Key number / gal description ecord number
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P � Page number
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Assessed value of reai properry as of Mortgage / Contrad indebtedness unpaid as of Is the applicant th sole legal or equitable
March 1, current year March 1, wrrent year owneR �es 0 No
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If no, what is his / her exact share of interest? If owned with someone other than spouse, indicate with whom.
If name on record is different ihan that of applicant, indicate below: Is the property in question:
' PropeAy ❑ M�le Home (IC fr1.1-�
' me of mortgagee or contrad seller
Addr s�f mortgagee or contrad seller (number and stieet, city, state, ZIP Drawer NO... o� � J.�` S^
Name of assignee or other owner or holder of mortgage Card NO . .....................
Address of assignee (number and st�eet, city, state, ZIP code)
Does appticant own property in any other If yes, what counry? What Taxing Distrid? Has this dedudion been requested on
county in Indiana? property for cunent yeaR � Yes ❑ No
ICOUNTY AUDITOR
Deduction approved in the amounl of:
Zo �_ zo o zo �¢(` zo � 20 � zo 0 9 zo
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SignaWre County Auditor Date
1/ We certiy under the penalty of perjury that the above and foregoing infortnation is true and correct and that lhe applicants was / were
resideni of Indiana and owner of the aforementioned property on March 1, 20
` Signature (owners (WI ame) � Person authorized by duly executed Power of Attomey
� or by IC 6-1.1-12-.07
Fu resident address of applicant Address of authorized person
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