HomeMy WebLinkAboutMortgage_McGregor STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coup ar' ._a;_�'a
as
:: FOR DEDUCTION FROM ASSESSED VALUATION
��.-�.'=sp, State Form 43709 DEDUCTION)
FROM
by Department of Local Government Finance
e
INSTRUCTIONS: •
F fled with•
7•be bled 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 rile during the year for which the deduction is sought I( ditor
2) Mobile/Manufactured Homes not assessed as Real Property:Must tile during the twelve(12)monti101 B SON UNTY q ��nR
before March 31 of each year the deductions sought - County"R"eCdrdd
See reverse side for additional instructions and qualifications.
Applicant(owner or.. •..b n er-see restrirbons on re = -side)
i] L. ' • •• ■ 1
e . a.
T.: 0ist"r - _it.l Ra�c1oN numbC{er Page number
Assessed valve of real popery as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contact Indebtedness unpaid as of Is the applicant the sole
March 1:anent year Marro 1,current year date of application legal or equitable owner?
$$JpCID 1 i'es ❑ No
indicate If no,what is his I her exact share of interest? If owned with someone other than spouse, with whom t
If name on record is different than that of applicant,Indicate below Is the property in question:Annually Assessed
real Property ❑AnnianyA�ea
1 Mobile Home(IC 6-1.1-7)
Name of or contract V er.
Address of mortgagee rr contract seller(number and street,city,state and no Mme-•
Name of assignee or other owner or holder of mortgage �/I l 111 ... _
Address of assignee(number and street,city,state,and ZIP t �['a1�\ C1. NO (((/���llp�/JJ/''I�/'/^/
Does applicant own property in any other If yes Card O �� ( '•- s this deduction been on property
mu in Indiana? ���ppp current Year?
❑ Yes Lp No Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 - 20
Signature of County Auditor County Date(month,day,year)
I I We certify under the penalty of perjury that the above and foregoing information is time and correct and that the applicant is a resident of Indiana and
owner 1 contract buyer of the aforementioned property on data application is filed. .
Signature( Date(month,day,year)
L
-` / 7` • / 7/47,7A
Full .,.4 of...n t(nu . and street Wy,state,and ZIP code)
S.yr, W. BCDg en svC�te l� �f96?c
a by duly executed Power of Attorney o IC 6-1.1-12-0.7 Date(month,day,year)
Address of authorized person (number and street try,stale,and ZIP code) ' •