HomeMy WebLinkAboutMortgage_Resenbeck��„�.�4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
� � ' FOR DEDUCTION FROM ASSESSED VALUATION
%,. �� State Form 43709 (R71 / 6-09) 5 2012
'��' Presuibed by Department of Local Government finance � /
�eis �
INSTRUCTIONS: OCT 2 2012
To be filled in person or by mail. Form filed with:
Filing Dales: 1) Real Property: Must be complefed and daled in the calendar year for which the deduction is sought C.�,Iv
Must be filed wilh the County Auditor or County Recorder o/ the county where the property is located ��County Auditor
on or be/ore January 5 of fhe immediately succeeding ca/endar year. County Recorder
2) Mo6ile/Manu/actured Homes not assessed as Real Property: Musl file with the CountyAudito��f �e�ON C0 NTY AUDI7
county whe2 the property is located dunng the twelve (12) months before March 37 0l each year the
deduction is sought.
See mverse side for additional instructions and ouali�cations. .___
mt (ownerorcontract 6uyer- see restncfions on reverse
D. Resenbeck and Robin R. Resenbeck
Q� y����
lssessed value of real property as of
darch 1, current year
f no, what is his / her exact share of ir
f name on rewrd is difterent ihan Nat
number I legal desuiption 26-1319-102-000.357-026 / Property
East Oak Street Fort Branch, Indiana 47648
PIN
2 6-19-19-102-000.357-026
�/ ConVact Indebtedness unpaW as of Mortgage / ConVa
current year tlate of appliwtion
Name ot mortgagee or coMrad sener
Evansvilb —"�'�'"°�-
Atldress of �� A,. �nQ � 1� /� � d, `� 1 Q�
4401 Thi r'��w l:} ✓(Jp
Dra��•er i\`0 ...................
Name ot z
C81'd NO . .....................
someone
Record number Page number
p'�0 /07 �J�a
ebtedness unpaid as of Is the applicant the sole
legal ory quitable owneR
f.�'1'es ❑ Na
spouse, indicate with whom
Is the property m questwn: Hnnuairy nssesseo
C3'�2eal Property ❑ Annually Assessed
Mobile Home (IC 6-1.1
Does ap� - unry? What Taxing District? Has this deduction been requested on property
wunry in .. . for curreni year?
❑ Yes td No i Yes ❑ No