HomeMy WebLinkAboutMortgage_Spinds.�+°•'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
._ � FOR DEDUCTION FROM ASSESSED VALUATION �� i
Stata Form 43709 (RB I 2-07)
S I PresrnbeC by Depariment of Local Govemmenl Finance
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File Mark
iNSrnucnoNS: QPR 7 2008
To be (led in person or by mad wdh the CountyAuditor o7 the county where Me property is located.
Fd'o,g Dates: 1) Real Property: Dudng (he 12 months be/are June i1 d fhe year the deduction is to be elfective.
2J Mobile Homes assessed under IC 6-1.1-7: Befiveen January 15 and March 2 0l the year the deduction is to be`� �Q� ___
See reverse side lw additional ins6uctions arM qualil'ications.
' n ownerorcon4a_d/ 6vyei- reshicGons on �everse si0e) -
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Tving KeymanDer/legaldesaipl"an `. — � RemN Page /
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Assessed �ue of rral popaly as d March 1, arrent year Morlgage I ConUaC indebletlness unpaid as oF March 1, Is Ihe applitant Ihe sde legal w equitaWe amell
artent year � / O O ^
�G U ❑Yes ❑No
IfA�hat is his / her exacl share ot irrteresl? If on+ied wilh someane dlier Ihan spouse. indiwte wilh whom.
If rome m rernrd is ditterant lhan Ihal
Nama of nwrtgagee orcanl,ad seller n'/ /, � . �
' d � � . W"�
Address of mort9agee or conUad seller (num6er aM 9reef. tity, s6te, and ZIP oode) `
asagnee a other o.vner or holder of mwt[ ��
�O� M � '
of asslgnee (number arM sVeel, dty. slate, Sa / y�"�'
Does applicaM ovm property In any oUier
counry in Indiana?
❑Yes ❑ No
Deduction apprwed in the amoun� of:
2b� 20�
f�
SyreWre of CauntyAudiior
IL r.�._` � '�
' / . 9 ^ �L
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�Jaig
COUN 1 i AV UI � vn
20 _ I 2b
caunry
20
Is Ihe property in queslim:
❑ Real Pmperty ❑ Mobile Home (IC G7.
Has Utis deduction been requested on properry
ror auren� yea/?
❑ Yes ❑ No
i.;�
Date (month. daY Y��
20
I/ We certity under Ihe penalty of perjury that Ihe above and foregoing inforrtation is We and mrrect and ihat the applipnts was / were a resident of
Indiana and owner of ihe aforemen6oned property on March 1, 2p
--_..—'-.--�_�,�--° � . oatetmmth.daevead
5I\ �l1Nv�, H' c� L'CJv�
I �sdent adEress of appl' �l t(number and street cily, state. aM ZIP
/ q le SoL.�-4� �e L e t
Pason aiAharrzed by duly exeaile0 Power oflLLtamey or by IC 61.1-12-
Address of author¢ed pason (numberarM sVeeG rdy, sfate, andLP o0
=u y
Dale