HomeMy WebLinkAboutMortgage_Whittington"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year �
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• FOR DEDUCTION FROM ASSESSED VALUATION
.• State Form 43709 (R71 / 6-09)
•�' � Hesrnbed M OeG�reM of Local Go+emment Frw�ce
File Mark
INSTRUCTIONS:
To be fifed in person w by mad with the CountyAuditor or Counry Recader o/ the county where the property is bcated. F�"� � '
F�Ting Dates: i) Real Property: Must fJe durirg tha year fir which fha deduction is soughL �C y�
2J Mo6de /Manufadured Homes rrot assesced as Real P/nperty Must file dunng fhe twelve (12) months
before March 37 of each year tAe deducfion is sought. � ❑ County R
See ,everse side /or addifional instnrctrons and qualificatians.
MP�^� (o wmntrad 6N'�'see resNCW2s m rev�trsY sibe) •. � . 1
n�m��r��,.��r
Ma�d� 1. armrt year
It m, what Is his ! her e� sham ot interest?
>MortXpa9�.SU l —
March 1 e/ ConuaU 4det
ay�ap�mar _
It name m �emrtl's Srttemn[ U�an Vut of appGrant, trNkate bebw.
Hame m mong23ee «ca,raa sener
Address ot mor[gagee w mntract seller (numbel a�
Name a1 assignee w oMer owner or holder of mort�
AAdress o/ assignee (number and street �; slale.
Dces epplipnt oxn property in any oNer
munry in IM�ana?
❑ Yes ❑ f:
DrducGOn aOWaved'o� tl�e amount of:
zo _ �o _
1
Sigrenne N Cowry nuditor
ciry,
.�av /.
�
aid as af Mongage I Contrac
tl2te O( app�tion
1/ owned wi� sarneo�re oih�
a af
Yes LI No
Is tl�e ProP�Y in Questian: MnueM Assesse0
❑ Rea� Froaertv ❑ Annua�ry Pssessed
- - �_. _ � •
'IPCOEe) . I � .
�- •�_..
�' ' "-•
. �� .��.' � iias this deduGian been
. . rm cvirem yeaR
• �' . ' . '. F�� I� � •
Di•a����°i� NO..4!�.O!.:1..•.'..... �;
c���a .�o. .. 5��.`1.........
�y9;a97: C° 20-
Caunry
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� P�Y
20_
I I We certfy unAer the penatty of pe�ury thai Ne above and foregoing infomiation is W e and cortea arM that the applirant is a resident of Indiana aM
owner / contract buyer of the aforementloned prope un date application is filed.
� ra (or^ na -. „_ _-. Date (monfi. EaY. Yge+)
erM
person (num6era�MsOee;
Date (rtanlh. tlaY.