HomeMy WebLinkAboutMortgage_Wilson (9) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township j Year I
toFOR DEDUCTION FROM ASSESSED VALUATION
si State Form 43709 DEDUCTION N
Prescribed by Department of Local Government Finance F I LeE ji
INSTRUCTIONS:
I I Form filed with:
To be filed in person or by mail J U
with the County or County Recorder of the county where the property is located. 18 90r n
Filing Dates: 1) Real Property.Must file during the year for which the deduction is sought my Auditor
2)Mobile/Manufactured Homes not assessed as Real Property Must file during the twelve(12)months
before March 31 of each year the deduction is sought U •unty Recorder
I i
See reverse side for additional instructions and qualifications. . v" �J'O7ri
AvP< t(owner or contract buyer u�reverse CIDCON COUNTY AUDITOR
X-
Taxing D' Key number/legal desaiptmn Record number Page number
air ^`ta ' Pala - /8-/3 - YO3 _ 000. .30iy. c I ;of�3 31f97
Assessed value aireal property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contact Indebtedness unpaid as of th the applicant the sole
Math 1,anent year Mardi 1,current year y date of application legal or equitable owner?
V,( 7 O o ❑ Yes El NO
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant.indicate below. Is the property in question:Annually Assessed
❑Real Property ❑Annually Assessed
• Mobile Home(IC 6-1.1-7)
Name of mortgagee or cont ract seller p d- 1-4- r` LQ i'
Address of mortgagee or contract seller(number end street city,state,and ZIP code)
Name of assignee or other owner or holder of mortgage - - -
Address of assignee(number and street,city.state,and ZIP code)
. Pt- Se / 3 - 3 -ii . a54 c
Does applicant own property in any other If yes,what county? • What Taxing District? lias this deduction been requested at property
county in Indiana? ❑ Yes ID No _ for current year?
❑ yes ❑ No
W
COUNTY AUDITOR jr, / 1 C8�vt1t1l1/
Deduction approved in the amount of. I 1
20 20 20 20 20 S\ \Q ft n —
K..
Sigretu County 0.\\12)
I I We certify under the penalty of perjury and foregoing information is true and correct_.._ - �`� ���� a and
owner I contract buyer of the aforementioned property on data application is filed.
K y
Signature(owner's K ` W .....9-- -,—' Dale(month,day,year)
(`\ Full 'dent address of applicant(number and street,dm state,t ZIP� ,s _
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 / Date(month,day,year)
Address of autha led person (number and street,dry,state,and ZIP code)