HomeMy WebLinkAboutMortgage_Becht (2) , T STATEMENT OF MORTGAGE OR CON N ra)t =' S County Township Year
FOR DEDUCTION FROM ASSESSED U T 1
State Form 43709(RI I/6-09)
Prescribed by Department of Local Government Finance
OCT 0 9 2013 File Mark
INSTRUCTIONS:
/o be filed in person or by mail with the County Auditor or County Recorder of a county whe the party is located. Form Ned with:
Filing Dates: 1) Real Property Must file during the year for which the dedu • is s d County Auditor
2) Mobile/Manufactured Homes not assessed as Real Prope f the twelve(12)months
before March 31 of each year the deduction is sodalBSON COUNTY AUDITOR ❑ County Recorder
See rave • e for additional instructions and qualifications.
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Assessed value areal property as of Mortgage/ tract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
March 1,arms year March 1,co tx�y r date of application legal or equitable awner7
Jul 00 ❑ Yes ❑ 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 Pronto pC 6-1.1-7)
Name of mortgagee or contract seller
Address of mortgagee or contract seller(number and 4 city,state,and ZIP code)
Name of assignee or other owner or holder of mortgage
Add
•
Doe • What Taxing District? Has this deduction been requested on property
cou J / `n / f for current year?
�� I � '�-y J w/'r, ❑ Yes ❑ No
1 .COUNTY AUDITOR
Der
20 20 20 20
Sig County Date(month,day,year)•
going information is true and correct and that the applicant is a resident of Indiana and
'plication is filed.
S c Date(month,day,year)
>F( 'e)
`` 7/ vr/V r76 37
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-a7 Date(morthh,day,year)
Address of authorized person (number and street city,state,and ZIP code)