HomeMy WebLinkAboutMortgage_Lloyd (2) r . STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
_''°?�!- FOR DEDUCTION FROM ASSESSED VALUATION H A
State Form 43709(RS/2-07) A�,�i/Q
•,,ieu j Prescribed by Department of Local Government Finance
INSTRUCTIONS:
SEP 110 $
To be filed in person or by marl with the CountyAuditor of the county where the property is located.
Filing Dates: 1)Real Property:During the 12 months before June 11 of the year the deduction is to be effective.
2)Mobile Homes assessed under IC 6-1.1-7:Between January 15 and March 2^"' ?yen-" }deduction is`t jm fecf
See reverse side for additional instructions and qualifications. O�� `U
CIBSON f'OIINTY AUDITOR
Appr ft(owner or buyer!e(ostrich ns n reverse side)
Taxi Istria Key number�ption Record number Page number
�' � — alv oN � 5' 3O3 - 000. Jcc ouzo Xoo8 y50o
Assessed value of real property as of March 1.anent year Mortgage/Contract indebtedness unpaid as of March 1, Is the applicant the sole legal or equitable owner?
anent year
330 o0 , _ Yes • No
410,what is his/her exact share of interest? If owned with someone other than s'•use,indicate wi r whom. r(
If name on record is different than that of applicant,indicate below: Is the property in question:
❑Real Property ❑Mobile Home(IC 6-1.1-7)
Name of mortgagee or tract seller -
Name of assignee or owner or holder of er and street,dry,slate.and ZIP code)
fmortgage Drawer NO...n'$..
Address of assignee(number and street.city state.and ZIP code) 1 500
Card NO. ..../.ylJ.y.... ,
Does applicant own property in any other If yes,what county? What 41 33,l.t.. • xi on property
county in Indana?
❑yes 0 N y^^ I Ili Yes 0 N
COUNTY AUDITOR y �1 il-da ( Cot 0 e -(46 7/
Deduction approved in the amount of: / _ Q �+
20 0 9 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 applicants was I were a resident of
Indian- and owner of the aforementioned roperty on March 1,20 .
Signature •\er's MI })-r:\/X/} I Date(month,day.year)
il�tJ le?
`' sidenl of�w Ica number and street,cdy. t . ,ZIP fie')
1 .r .s o) 7e1,1 rLdvPl�. „pate jAa lio. y7_/ /4
Attorney authorized by duly exearted Power of Attorey or by IC 6-1.1-12-.07 Date(month,day year)
Address of authorized person (number and street.city.state,and ZIP code)