HomeMy WebLinkAboutMortgage_Kramer (14) .M•,=•*.q, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
d � FOR DEDUCTION FROM ASSESSED VALUATION �1 rL �2 Z
' State Form 43709(R14/1-20) t/^\S C) V
�' Prescribed by Department of Local Government Finance File Mark
INSTRUCTIONS: To be filed in person or by mail. FormKCounty
filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. Auditor
Must be filed or postmarked with the County Auditor
Taxing District ,/V I Key number/legal description Record number Page number
p2-- —vz-6 C- (-to 1-°c o. (.3Y--0?-2. c-),i),22 23) -0_
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date.current year date of a lictiprt� ^^ legal ore ble owner?
`�J1w\V/lJi\`Jl Yes ❑No
If no,what is his/her exact share of interest? If owned with so eone other they/spouse,indicate with whom
If name on record is different than that of applicant,indicate below: I t e property in question:Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name ortgagee or K contrager '
Address of mortgagee orti//cfrontttra t s (eller(n er and street,ci PA/7 r6X/ D-'7 l C K
Name of assignee r oth ne0 der of mortgage Pe �5 qE 4
Addres ss a imbbeer alnd street,city,state,and ZIP c _/ / ?�
pily p.,
rl102r11. CJl O{�J d If yes,state amount of deduction
Does applicant owp p��pgiy,n any If yes,what county? "a` '�^"'y"""""" on property for
other couty ,-it•�es No vv I current year? Yes ❑No
in Indiana? U-T
A person is not entitled to/�l�pp,��yy'��,� t,�ifounless the person has a balance on the person's mortgage or contract indebtedness that is recorded in the county
recorder's office(i cl q-. (`I1 me equity line of credit that is recorded in the county recorder's office)that is the basis for the deduction.
N CP COUNTY AUDITOR
Deduction aptai t in the amount of:
20 20 20 20 20 20 20
Signature of Coun Auditor County 1 DateCor th,day,y ar)
pI
fy under the penalty of perforegoing information is trtm nd correct and that the applicant l a resid nt of Indiana and
ntract buyer of the afore n' ned property on d to application is filed�is full loam Date(m th,day, ear)
/ e Ci21-12`Z
/ Full r- •ent address ooyf-aapt"ppllliicaan�t(nu r and street,_ city.State,and-/ 0$)
Person authorized by duly executed o er of,Attorney or by 1C 6-1-1..1-12-0.7 ll Jl�/� Date(month,day,year)
Address of authorized person (number and street,city,state,and ZIP code)