HomeMy WebLinkAboutMortgage_Ricker (2) i� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
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�i.;; FOR DEDUCTION FROM ASSESSED VALUATION t r
State Form 43709(Rte/6-09) I - I )— I i t
Prescribed by Department of Local Government Finance ' i • f
File Mark
INSTRUCTIONS: F. r i,e 29
be fled in person or by mad d.with the County Auditor or County Recorder of the county where the property is located
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To
Filing Dates: 1) Real Property:Must file during the year for which the deduction is sought • County Auditor
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 �1 -
See rev- side for additional instructions and qualifications. GIB-: • ti1 i
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er '1 "' -i / !t 60— CIO/ ft—O021
•.vaWe of- ..- ..of .,gage I Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is ue appfaant the sole
Mardi :extent Mardi 1,omen:year date of ap ^ legal or equitable ovmw?
0 ❑ Yes ❑ No
If no,what is he/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
W I Real Property ❑Annually Assessed
/� Mobile Home(IC 6-1.1-7)
Name ofmmgageeacontract seller (..)
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
Name of assignee or other owner or fielder of mortgage
ie /j a 7
Address of assignee(number and street,trey,state,and ZIP code) �{/C/'Q-/rL 76n//'1d
Does applicant own property in any other If yes,what county? • What Taring District? Has this deduction been requested on property
county in Indiana? for current year?
❑ No
❑ Yes ❑ Yes ❑ No
COUNTY AUDITOR
Dedurao /^(x�/
20 Drawer NO a0/.q.. .. - 20 20 20 20
Signaoa Card NO. ��t. �--30( Canty Date(madh,day,year)
I 1W 0 OY Iti /go, 26 ig infonnatlon is true and correct and that the applicant is a resident of Indiana and
owner Wnueu uuyc -_� . anon is filed.
- r rraaf� Date(month,day,year)
", ',l /I� !/_'J
+ W '.era ad.f"r of pP6mt (number and street, sta and P e)
' ' 1Slp0 v\I s50 s Ov�2v�'cille, ini y- tntpS
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year)
Address of autlwized person (number and street,city,state.and ZIP code) .