HomeMy WebLinkAboutMortgage_Hardt,�n n4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
� ''q FOR DEDUCTION FROM ASSESSED VALUATION 5�
i�' �� State Porm 43709 (R11 I 6-09) ����
�=/, Presaibed by Department of local Governmeni Finance File Mark
uu
�UCTIONS:
Tobe(lledinpersono�bymail. AUG � Z��Z
Filing Dates: 7J Real Property: Must 6e completed and dafed in lhe calendar year (or which lhe deduc6on is sought.
Musl be filed with the County Auditor or County Recorder oI fhe county whereTh � ted
on or befo2 January 5 olthe immediatety succeeding ca/endar year.
2) Mobile /Manulactured Homes not assessed as Real Property: Musf file with the County �Audit
county where the propeRy is located dunng the hvelve (12) months be7�BB+@9! ��@�acii �
deduclion is sought.
See reverse side tor addifional instructions and uali(cations.
Applicani (owneror mntrac! buyer - see restnUions on �everse side)
Gregory A. Hardt
Form filed wiih:
�County Audilor
�� County Recorder
i a m Uistnd I Key number / legal tlescrip6on / Property Address rcecom n��w rage numcer
�—�C'4�'�4�Y� 2pg N Main Street Haubstadt, Indiana 47639 p����7-,3 �-�JO� C�j.ao3-UO �S
Assessed value of real property as of Mortgage / ConVaU IndeGietlness unpaitl as of Mortgage / ConVact indebtedness unpaid as ot Is fhe applicant the wle
March 1, curteni year March 7, cunent year tlate of applicalion legal or equiWble owner?
584,000.00 F�'Yes ❑ No
If no, what is his / her exact share of interest? If owned with someone oiher than spouse, indicate with whom
If name on rewrd is difterent than that of applicant, indicate helow: I5 the pmperty in ques6on: Annualty Assessed
� ..- �eal Property ❑ Annually Assessed
Mobile Home (IC 6-1.1-7)
Name o( motlgagee or contraG se
Legence Bank
Address of mortgagee or wntract
Name of assignee or oUler owner or hole
�A f•ess of assignee (number and street,
apP���nt own property in any oNei
wunry in Indiana?
�-��,tr��Q A. -- =
rsr���1���ei• i\ 0..... c��. ��.....
C:il'[� l�r�. ......��J..l......
��VYCBcI�j ���C�,�
(or curtem year?
on