HomeMy WebLinkAboutMortgage_Spindler (8) a.: STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS- County Township Year
elf' ;.k. FOR DEDUCTION FROM ASSESSED VALUATION
a;... State Forrn 43709(R13/10-15)
,
----:2-. Presorted by Department of Local Government Finance F ILEp
INSTR1JCTIONS: .
To be filed in person or by mail. n Firyird with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought MAY V
Must be filed or posbnarlcexl with the County Auditor or County Recorder of the county where the property is ID County Auditor
located on or before January 5 of the immediately succeeding calendar year . •• , - • Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the 4/14, _ceivirfig
where the property is located during the twelve(12)months before March 31 of each year the deduction' -AY- ... ". •
See reverse '..; IT additional instructions end qualifications. GIBSON • NTY AUDITOR
Applicant(., . , mastram,A,,-restrktorne side) (24.4_
4 40 elf
/rniwn i inn.ai
Tinglinstriict, aev .)
Fminur,ber Page number
1;7Y61.-qP-Sri' - 61 0 0. 97,7-oda-
-54 o
semPay-talliae of "—real property as of Mortgage I Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of ts the applicant the sole
assessment date,intz fear/ assessment date,current year date of application i j ,/ legal or equitable owner?
'r`t; tc4e 0 Yes 0 No
If no.what is his I her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is efferent than that of appticant,indicate below: N?liel te property in question Annually Assessed
Real Property 0 Annually Assessed
•
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
n9/C24C- .
Address of mortgagee or contract setter(number and street city,state.and P
Name of assignee or other owner• wiii of
mort; ' . .
V2
4, 1 1 ' 1 07Z Jo - .5 - /0
7/
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Address of assignee(number and stree e.slate,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county ,-, on property for ,
in Indiana? LJ Yes ID No current year? LJ Yes- 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is recorded in the county
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of.
20 20 20 20 20 20 20
Signature of County Auditor County - _ I Rata 1 Tani,. A mal.......A
• 01- 0 I 7 - 5 - 7I
_
lip
A I I We certify under the penalty of perjury that the above and foregoing information is true and a
owner/contract buyer of the aforementioned property on date application is filed. Di-awe r NO _
f„..... Signature(owner's full name)
a.,41?dor et 122/.22-4-a. ,e(Siacel-C.CLIA-4.-- -
, F4 resident address of applicant(number and street city,slate,and ZIP code) Ca rd NO. _
I- 92/C -S ilS 71c,;cee.2- i/ - _
Person authorized by duly executed Power ormey ofily IC 6-1.1-12-0.7
A/2/-4442tcit- -S74 t'76 39 I
Address of authorized person (number and street city,state,and ZIP code)
-
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000. -• •- ---• •
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