HomeMy WebLinkAboutMortgage_Englert (4)"'r STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year
FOR DEDUCTION FROM ASSESSED VALUATION
Sla[e Fwm 43709 (R71 / 6-09)
�' - � presrnbetl M DePartment of tael Govemrtierrt Fnance
Fi e
INS7RUCTIONS:
To be filed in person or by ma�l with (he CourttyAuditor o�Counry RecoNer of the couniy wFiere the property is located. F
Fifirg Dates: 1) Real Properly Must file during the yearlor whfch the deduction is sought.
2) Mo6Be / Manufadured Homes not assessed as Real Property: Must fi!e during the fvrelve (12) months C�
befae Mamh 31 01 each year the deduction is sought.
See revelse side for ad�tional instruUbns and quali�cations. G IRCnu ...
Me�di 1; acrenl year
II ro. whal ts Ns ! her e�oG shara Of inteJesi?
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iess unpaitl a af Mortgage! ConvaG indebtedness unpaid as d Is the aPP�t Ne sole
date of apP�m�� legal or equitaNe ormrYl
❑ Yes ❑ No
tt owned wi� mmeone oUws ttian spouse. md'xxte WtA whom
Is ptopertyin0���:�nuallyASSeved
��� o�,���
nnowie �ome nc bti-�
� �� �' 3 - /� /a. �// �
What Ta�d�g D'atrict? Has Ihiv deducTion Eeen requesteE m P�W�Y
(or artent yraR n .,_ _ n
20 I 29
20 I 20
�M foregoing infortna6on is W e and cortect and that Ne applitant is a tesident of Ind�ana arW
date application is filed.
Date (�, tlay,
' Date (rsmnth. deY•