HomeMy WebLinkAboutMortgage_Steckler „ , � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
” ".1. FOR DEDUCTION FROM ASSESSED VALUATION ��
I''` State Form 43709(R13/10-15) \•S)�
? Prescribed by Department of Local Government Finance
INSTRUCTIONS: • File Mark
To be filed in person or by mail. F rm filed with:
Filing Dates: 1) Real Property.Must be completed and dated in the calendar year for which the deduction is sought
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is County Auditor
located on or before January 5 of the immediately succeeding calendar year. County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county
where the property is located during the twelve(12)months before March 31 of each year the deduction is sought.
See reverse side for additional instructions and qualifications.
Appli (owner or contra bar-see rest,' ions on reverse side)
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Toxin D number/legal description R rd number Pa number
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Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortg ge/Contract indebted unpaid as of Is the a plicant the sole
assessment date,current year assessment date,current year date aptli tjon0 0 legator ui le owner?
�� uu Yes ❑ No
If no,what is his l her exact share of interest? If owned with mein other than spouse,indicate with whom
If name on record is diferentthan that of applicant,indicate below: Is property in question:Annually Assessed
eal Property 0 AnnuallyAssessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
C-c�c� FILED
Address of mortgagee or contract seller(number and street city,state,and ZIP code)
Name of assignee or other owner or holder c MAR n/i►1 D 3 2020
•
Address of assignee(number and street,cat) •
Drawer NO 0 ?Q•.
Does applicant own property in any If yes, Ca?�{{a� FIAT!
y(�If yes,state amount of deduction
other county
`� -`••• cfrr HlJ{� No
in Indiana? El Yes 0 No Card N O. J (. Current year? ❑Yes Li No
A person is not entitled to this deduction Card
person's mortgage or contract indebtedness that is recorded in the county
recorder's office(including any home ecj • minty 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
Si. , reoF tyAu ' rj� County • Date(mo
I . C 3
I/We certify under enalty of perjury that the above and foregoing information is true and correct and that the applicant i a -�
resident of Indiana and
owner I contract buyer of the aforementioned property on date application is filed.
c.,
Signature(owners full name) Date(mo ear)
F r d n' d ess of applicant(number and street,city,eta ,and ZIP code)
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Person aut orized by duly executed Power of fyttomey or by IC 6-1.1-12-0.7 • Date(month,day,year)
Address of authorized person (number and street,city,state,and ZIP code) -
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