HomeMy WebLinkAboutMortgage_Pohl (4)^�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
_ � FOR DEDUCTION FROM ASSESSED VALUATION .
• State Form 43709 (R71 / 609)
�� � p�¢ynbed by DepartmeM of Lacal Govemment Fnarxe
Coun Tovmship Year �
File Mark
MSTRUCTIONS:
To be fiied in person or 6y mad wiN the CourrtyAUditor or Counry RecoNer of the oounty where the property is located. le � :
FBirg Dates: i) Real Pmperty: Must fJe during the yearlor which tha deducfion is soughf. qudimr
2) Mo6Be /Manufadured Homes rrot assessed as Real Property: Must fi!e durrng the hveNe (12) months C�
before Mamh 31 o/each yearthe deductnon is sayht. ty er
SeeieversesideloradditionalinstructfonsarMqualificaGons. ('aIBS NC U
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�_.�„�y mat [he above and foregoing infortna5on is We and cortect and tha[ the applirant is a resident of Indiana arM
._....� ouyer of the aforementioned property on date appiication is filed.
Pason aufho�aed by diAy execu:etl Power of AtlnmeY or by IC G7.1-12-0.7
euthwaed person (numberantl sLee; ciry, state,
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