HomeMy WebLinkAboutMortgage_Lipscombd�—�,y. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township � Year
r�_ FOR DEDUCTION FROM ASSESSED VALUATION (
3• -� Sta:e Fo�m 43709 (R 71 / 609)
���' Presttibed Dy Depanment of Local Government Firance I
STRUC710NS: Fi rk
To be filed in person or by mail. Form fJea wim:'j 9Q
Filing Dates: iJ Real Property: Musf 6e completed and dafed in fhe calendar year Ior whicA the deducfion is sougbL � T�pufi�y'AYi��or
Musf 6e filed with Ihe Counfy Auditor or Counry Recorder o( the wunty where 1he pmperty is locafed LJ
on or be(ore January 5 otlhe immediately succeeding calendar yeai. ,�� rder
2) Mobile / Manulac(ured Homes not assessed as Real Property Musl file with fhe CountyAudifor o/ the
county where the pmperty is located dunng the tweNe (12) months betore March 37 ot each year fhe
deduction is sought GIBSON COUNTY ALIDITOR
See �everse side /or additional instructions and qualifications.
Applicanl (owner w convacl buyer- see msvictiais ar reverse side)
Michael G. Lipscomb and Rebecca D. Lipscomb �
Ta�drg DisVict Key number / legal desuip6on Record numDer Pa e num0er
Somerville 26-20.02-401-000.202-003 Lots 4& 5 Highland Place �(�� � � 9 35
Assessed value dreal pioperty as of Mortgage / ConUacl i(Mebtedness unpaid as ol Mongage / Coniract in0ebtetlness unpaid as of Is Ihe applicant �he sde
rrh 1, wrteni year March 1, wrtent year Cate of applica�ion legal or equitaWe owner?
37,100.00 539,500.00 541,400.00 0 Yes ❑ No
II no, wha� is his / �er eaaM share ot interest? If owned wiih someone other Nan spouse, iMifate with whom
1: name on recortl is tliRerent Nan Ihat of appGCant, iMiwte bebw. Is ihe property in Question: Mnually Assessetl
❑� Real Property ❑ MnuallyASSessetl
Modie Home (IC 61.1-7)
Name of mortgagee or contract seller
Fifth Third Mortgage Company
AGdreu of mortqagee or conVaci seller (num0er aMY•reet, city, sfate, and ZlPCOde)
5001 Kingsley Drive, Cincinnati, OH 45227
Name ot assignee or other ovmer or holder of nwrtgage
Adtlress ot assignea (number and streeL nfy. sta:e. and ZlP code)
�s applicant own pmperty in any ocher If yes, what counry? VYhai Tazing Distnct? Has this tleduction bcen reques:ed on property
nty in Indiana? for wnen� yeaR
❑ Yes ❑ No ❑ Yes ❑ No