HomeMy WebLinkAboutMortgage_Swartzd�-?o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun o ns ip Ye
.k_R�. 1 FOR DEDUCTION FROM ASSESSED VALUATION
l• i SUta Form a3709 (R11 / 6-09)
")y,� � Pres�xibeC by Department of Local Govemment Finance �AN
pde Mark
� INSTRUCTIONS: C.'�. ry�,,;_�—�
To be �led in person or by maiL Form filea vnm
Filing Dates: 1) Real P�operty: Must be co � eted and dafed � fhe calendar yearlor�hich tbe de�u �o�ss located G�B N���n�� ' or
Must 6e lled with fhe Coun Audifor or Coun Recorder o7 fhe coun where the m e OR
on or before January 5 0/ lhe immediately succeetling calendar year. ❑ County Rewrder
2) Mobile /Manufactured Homes no( assessed as Real Properry: MustTle with the Counry Auditor o7fhe
county where fhe property is located dunng fhe RveNe (12J months 6e/ore March 31 0/ each year the
deduction is sought.
See reverse side for atltlitional ins(ructions and qualifications.
Apptifani (owrrer or convact buyer - see resbicfions on reverse side)
CHAD E SWARTZ
Taring �istria Key number I legal tlesaipUan Record number Page num r
COLUMBIA z�,�z3-,o,-000.42�-0os ao � y s
Acussed value d�ea� proper:y as ot Mwtgage / ConvaU irWebtedness unpaid as of Mongage / Con,raG'uMebtednau unpaid as of Is ihe appfican� Ne sde
Ma�di 1, artent year March 1, cvnent year data af application legal or equitaWe owneR
205,600 178,500 229,042 ❑ Yes ❑ No
If no, what is Ns l her ezaG share of interesl? 11 ovmed vnN wmeane oNer Nan spouse, inGiwte wiN whom
It name on record's diRerent ihan Ihat ot appGrant, iMiwte Cebw Is property in quesUOn: MnuaP�ASSesseE
JOSEPH W. SINGLETON AND BETTY J. SINGLETON �eal Properry ❑ MnuaOyASSessed
/ � Mobile Home (IC 61.1-7)
Name of mortgagee or mnVact seDer
MORTGAGE MASTERS OF INDIANA INC
Address of mortgagee or contract setler (number antl sfreet, ury, state, arM ZIP code)
7144 E VIRGINIA ST STE A EVANSVILLE IN 47715
Name of auignee or oNer owner or holtler ol rtwrtgage
AdCress of auignee (number antl street, ary, state, and Z/P crode) • •
s apptifant rnvn praparty in any oNer I/ yes. whal counry? aung DisUictT / as Ihi deduawn Ceen requesteC on praperty
�nry in InOiaeu7 � NO tor curtent yeaR
❑ Yes ❑ Yes ❑ No
COUNN AUDITOR
�etluction approved in Rie amount of:
20 20 20 20 20 20 20
Synatura ot Counry Audimr Counry Data (manN, day, year)
I I We certify under ihe penalry of perjury Nat the above and foregoing infortnation is We and wrtect and that the applicant is a resident of Indiana and
owner I conUact buyer of the aforementioned pmperty on date appliwtion is filed.
SypaW (� me) Date (monN, day, year)
j� ovzono�z
F W reSiEeni aCAress of applica umDer and sUOef, uty, slate. end ZIP code)
1816 WHISPERING HILLS RD OAKLAND CITY IN 47660
Person auNOrizeC by duly ececutetl Power o/ Attomey or by IC 6-1.142-07 Data (mmth. day. yeaQ
AtlErass af auttwrized person (nvm6erarM siree( ciry, s(ate, arM ZlPcode)