HomeMy WebLinkAboutMortgage_Haas STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
`' 3 FOR DEDUCTION FROM ASSESSED VALUATION
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- State Form 43709 6-09)
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''''7,,`- '1. prescribed by Department of Local Government Finance i t�
INSTRUCTIONS: IL-9
with:
To be filed in person or by mail with the County Auditor or County Recorder of the county where the property is located. Form Nee
Filing Dates: 1) Real Property Must file during the year for which the deduction is sought. . 1 (Jiktapr
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 - • County Recorder .
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See reverse side for additional instructions and Itfications. -."117-1-ftmfll
Appraant.� y y /. GIBSON a • ei5uid 5/ desai•tion '
/,../:I a Ic - - i -i /.i Ili . .t/ii -1a) 9 G.all
>.value dreal��� Y Mortgage/Contract indebtedness unpaid as of Mortgage/Contact hidebteeedddrrr���ass unpaid as of Ls the applicant the sole
March 1,omen/year Match 1,current year date of application legal or
/ � 1:1 r equitable owner?
,[/y ❑ Yes No
If n o,what is his/her exact share of interest? If owned with someone other than votive,indicate with whom
If name on rend is different than that of applicant,indicate below: Is the property in question:Annually Assessed
Real Property ❑Armualy Assessed
Mobile Ficrrle(IC 6-1.1-7)
Name of mortgagee or contract seller •n' n
I / all/).// i
Address of mortgagee or contract seller(n • - •s y e4 city,state,and IP code)
Name of assignee or other owner or holder of ..•.•e'
Address of assignee(number and saver,city state,and ZIP code) oil /Is-V F-�' /
Does applicant own property in any other If yes,what unty? 1 t Taxing District? Has this deduction pppyye r request���ddd on property
county in Indiana? ❑ Yes ❑ No I for current year?
❑ Yes ❑ No
COUNTY AUDITOR
Deductic
GO .
I 3
20 Drawer NO 20 20 20 20
•
Sgnatud Card N O. Icl 7 9 County Date(month,day.year)
4r1 9OO .LAP
I I We going information is true and correct and that the applicant is a resident of Indiana and
owner I contract buyer of the aforementioned property on date application is filed.
Sig (o m's hN name) Date(month,day,year)
l 3'o2 W d75 ran/r1 fl( area 'i1 li %7 ^
Person authorized by duly executed of//'/Attorney/orr Cbyy-xIC 6-1.1-12-0.7 U Date(month,day,year)
Address of authorized person (number and street city state,and ZIP code)