HomeMy WebLinkAboutMortgage_Wright STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Couri traigraV x C
r FOR DEDUCTION FROM ASSESSED VALUATION I i I +,.
k3 State Form 43709(R11/6-09)
Prescribed by Department of Local Government Finance
1 File 1� 18 2013
bTRUCnoNS:
Forth filed with:
o be filed in person w 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 sought. 1 mi If . :-_ f ' ni
2) Mobile/Manufactured Homes not assessed as Real Property Must file during the twelve(12)months 1 r I!•M1lr
before March 31 of each year the deduction is sought - GIB-rsi i nirrn7E.IIITOR
See rave• ,side for additional instructions and qualifications.
owner orcontact buyer- .. on - -rse side) v
T.• • /�Key •_ /•;••I desaipiti , ' er
Record number Page number
- -•value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract ind ess unpaid as of Is the applicant the sole
Marsh 1,current year March 1, nent year date of application `I// a� legal or equitable owne
co .
y /e • ❑ 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 property in question:Annually Assessed
Real Property ❑Annually Assessed
//^�/ / ///{�1� 1 I Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller Of / /•. / // 2 `/' / /i
Address of mortgagee or contract seller(number and steer,ci • IP Icod\a)),./',//'{'�L_r�rA`O�T/// !//b/
Name of assignee or other owner or holder of mortgage I
Address of assignee(number and street ray.state,and ZIP code) c
. //� ! Oftid
Does applicant own property in any other If yes,what county? • VJh t axing District? Ns deducten been requested on property -
munty in Indiana? ❑ Yes ❑ No wrreI year? ❑ Yes
❑ No
4, Wft-f r /1 n D COUNTY AUDITOR
ill y J 20 20 20 20•
s l�f d
County Date(month,day,year)
I I We certify unoes u.<,._.._.., _ nd foregoing information is true and correct and that the applicant is a resident of Indiana and
own> /contract buyer of - aforementi y ed propel ,...date application is filed.
i\ .natu (owner's foil ,••• , r Date(month,day.year)
1 ' • A
of a •4 t(number-t,aay, e,and ZIP copal-
0 - . 0 t (� I�lllT Scone.,, 1M41uL&
Person authorized by duty executed Power of Atlaney or by IC 6-1.1-12-07 Date(month,day,year)
Address of auttoraed person (number and street,city,state,and ZIP code)