HomeMy WebLinkAboutMortgage_Bonney STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Cou Township Year
a iii FOR DEDUCTION FROM ASSESSED VALUATION tl I-1 }41
-+.�: State Form 43709(R11/6-09)
Prescribed by Department of Local Government Finance
File-Mark
INSTRUCTIONS: t _ . I . I
To be filed in person or by mail with the County Auditor or County Recorder of the county where the property is located.
Filing Dates: 1) Real Property Must file during the year for which the deduction is Court 1 Auditor
2) Mob de/Manufactured Homes not assessed as Real Property Must file during the twelve(12)months ■
before March 31 of each year the deduction is sought I , ' .rilareji+ Recorder
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See lever e additional instructions slNClao- ands versetside) - : -
Applxa rod contract buyer.see on/®versa side)
T . District r Key number`I leegal/lldescription Record number Page nut
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Assessed value of real , as of Mortgage/Contract indebtedness unpaid as of Mortgage/Convect indebtedness unpaid as of Is the applicant the sole
March 1,anent year March 1,current year date of ap[p7G�bon 7� legal or equitable owner?
a00 ❑ Yes ❑ No
If no,what is his I her exact share of merest? If owned vdth someone oilier than spouse,indicate with whom
If name on record is 6°erent than that of applicant,indicate below. Is the property in question:Annually Assessed
0 Real Property 0 Annually/Assessed
Mobile Home(1C G-l.1-7)
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Name of mortgagee or contract seller �.
• I F U .
Address of mortgagee or contract seller(number and street,dry.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) —
DCa{Yer op....aQ`
Does applicant own property in any other If yes,what county? • What Taxing District:'
county in Indiana?
Dyes D No Card ) r 44t )
COUNTY AUDITOR "'ttt"'`"�/// _
Deduction approved in the amount of:
20_ 20 20 20 20 20 I 20_ —
3igra. . ..t"Auditor - County Date(month,day,(year)
I I We ce i I : penal /off peijrju_ryry"th'att the eaaf above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner I•. r /al. '1 . • -mentioned property on date application is filed.
lr Signature ..- .•, Date(month,day,year)
)/1•, Full rest.- y.• • •• t(nu •-rand street,city, r ZIP code) '
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Person authorized by duty executed Power of Attorney or by IC 6-1.1-1 -0.7 Date(month,day,year)
Address of authorized person (number and street,city,state,and ZIP code) .