HomeMy WebLinkAboutMortgage_Ritter (3) a STATEMENT OF MORTGAGE OR CON E:t County Township Year
er , cr'
FOR DEDUCTION FROM ASSESSED V I N
t' State Fonn C709(R11/609) i
�' Prescribed by Department of Local Government Finance
INSTRUCTIONS:
MAR 2 6 2013 File Mark
To be filed in person or by mail with the County Auditor or County Recorder of th county where t e pm fly is located. Fenn filed with
Filing Dates: 1) Real Property.Must file during the year for which the deducdo sou County Auditor
2) Mobile/Manufactured Homes not assessed as Real Prope twelve(12)months
before March 31 of each year the deduction is sougt�l8 SO N COUNTY AUDITOR County Recorder
See reverse side for additional instructions and qualifications.
App6can(.(pwrrer or seer1ction5 on resiiitan
- Taxi g District Key number/legal description Record number Page number
t�`\ ale—II — 1 9— ZCO coo qa9 o o� J a/3I 1 7
Assessed vatic of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the appliant the sok
Mardi 1,current year March 1,ci t year te{'\ date of application legal a equitable owner?7 V c3 C) ❑ Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spins,indicate with whom
If name on record is different than that of applicant,indicate belch Is the property in question:Annually Assessed
❑Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller £. I (, \ M
Address of mortgagee or contract setter(number and sheet city,state,and ZIP code) -
Name of assignee or other owner or holder of mortgage RITTER i j
Address of assignee(number and street,cay,state,and ZIP code) t 2 — / I/
es
Do applicant own property in any other If yes,what county? /.\-Jl / // sd on property
county in Indiana?
❑ Yes ❑ No (es ❑ No
COUNTY/
Deduction approved In the amount of
20 20 20 20 20 20 20
Signature of County Auditor - County Date(month,day,year)
I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
' nr�me) ni/j i� .fjJ Date(month,day,year)
a/7s 5 o1`IX car 1�.V, GSAOwoy sui1t ) AI 9% 6S
Person authorized by duly executed Power of Attorney Or by IC 61.1-12-0.7 Date(month,day,year)
Address of authorized person (number and steel,may,state,and ZIP code)