HomeMy WebLinkAboutMortgage_Barrett (2) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Court Townshi ear
lei' FOR DEDUCTION FROM ASSESSED VALUATION County I L 1J
State Form 43709(R11/609)
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Prescribed by Department of Local Govemment Finance
File Mark
INSTRUCTIONS:
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TO be fled in person or by mail with the County Auditor or County Recorder of the county where the property is located.
Filing Dates: f) Real Properly Must file during the year for which the deduction is sought. Co my d loo
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2) Mobile/Manufactured Homes not assessed as Real Property Must file during the twewe(12)months
before March 31 of each year the deduction is sought. - er
See reverse side for additional instructions and qualifications. �,,/�
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Assessed value of real property as of I Mortgage/Contract indebtedness unpaid as of Mortgage/Contact indebtedness unpaid as d Is the applicant the sole
March 1,anent year I March 1,current year date of ap legal or equitable owner?
/ 0 Yes ❑ No
If no,what is his I 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 contract seller p din n 2"
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Address of mortgagee or contract seder(number and street city,state,and ZIP code)
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,rut;state,and ZIP code) Q J� /ahc ��gy ,5
Does applicant own property in any other If yes,what county? i �Y/7What Taxing District? Has this deduction n requested on property
county in Indiana? ❑ Yes ❑ No for current year?
❑ Yes ❑ No
COUNTY AUDITOR
Deduction approved In the amount of
(^/�}�/ Ir I 20 20 20 20
DI-:1wCI- NO..aol•
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County Date(month,day,year)
Card I.a O t , f IA )a. a ,( 3 .egoing information is true and correct and that the applicant is a resident of Indiana and
/✓%]] lO:06 I� (.0 application is filed.
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01/ r I Date(month,day.year)
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xF de t f applicant(number and street gill state,and ZIP code)
1` /(00`08 tenwooa /7(: PrvlceTdn ry. 4t'?G7o
Person authorized by duly executed Power of Attorney or by IC 61.1-1247 Date(month,day,year)
Address of authorized person (number and SOWS dry,state,and ZIP code) .