HomeMy WebLinkAboutMortgage_Christyd�.�q STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS h Year
a._ = FOR DEDUCTION FROM ASSESSED VALUATION
i• • State Fwm <3709 (R71 / 609)
�l PresaibeC by Depanment of Loral Govemment Finance �
INSTRUCTIONS: i File Mark
To be �led in person or by mail. F EB r fo wi :
Filing Dafes: 7) Real Property: Must be complefed and da(ed in fhe calendar year (or which fhe deduction is soughf. n�
Must 6e filed wi[h the CountyAuditor orCounty ftecorder o/ the wunty where (he property is locafed `ry� ��yp�unly Auditor
on or 6e%2 January 5 0/ the immediately succeeding calendar yeai. O�� ��unty Recorder
2) Mobile /Manulacfured Homes nof assessed as Real Property Musl fife wifh the CountyAudiror o( the '
counry where the property is located dudng the tweNe (72) months betore March 37 o7each ye�1��N
deducfion is sought.
See reverse side 7or addi(ional insWC(ions and qualifica(ions. �
Apptiwnt (awner w conVacl buyer- see resMclions rn reverse sitle)
Kreig R. Chrisry and Pamela D. Crisry
Tabrg Disiric[ Key numEeN legal descrip6on Record number Page numEer
Patoka Twnshp 26-12-15-200-003.666-027 Pt NW NE 15-2-10 ae �0
Assessetl value W real properry as of Mortgage / ConVad inEe�leEness unpai0 as ol Mortga9e I ContraG indebtedness unpaid as of Is U�e appliwn� the sde
Marrh 1, wrrentyear March 1, wrtent year date of appliptlon legal or equilaWe wmeR
5284,200.00 S61,151.20 S63,000.00 ❑� Yes ❑ No
It no, what is his / her eratt share o( interest? I� owneC with someane oNer ihan spouse, intlicate wiN whom
�" name on recortl is difleren� Nan that of applican4 indicale Oebw: Is the pmperty in question: MnualyASSeued
❑ Real Property ❑ MnualtyAssessed
MoWle Home pC 61.7-7)
Name of mortgagee w contracc seller
Sovereign Bank, fsb
Addrass of mortgagee or convact seller (number arM sfreef, tiry, state, arM ZIP cotle)
1130 Berkshire Blvd, Wyomissing, PA 19610
Name of assignee w other owner or hdder of mwtgage
Address of assignae (numGer and sbeet dry. sta.e. and ZIP code)
Does applicant own properry in any oNer II yes. wTat coun.y? What Taeing Disvict? Has t�is tleCUCUOn been raquested on pmperty
counry in Indiana? �,/ for curtent yea(?
❑ Yes IeJ No ❑ Yes ❑ No
COUNNAUDITOR
Deduction apProved in t7ie amount oh �
20 _ 20 _ 20 _ 20 20 _ 20 20 _
Signawre of Counry AuEimr Counly Oate (monlh, day, yea�
I/ We certify under the penalty o( perjury thai the above and foregoing information is lrue and cortect and Nat the applicant is a resident of Indiana and
owner I con'vact buyer of Ne aloremenfioned o erty on date application is filed.
Si9nawre (owne�s tutl na e) Date (month, dag year)
�C � 01/20/2010
Fu0 resident address o applica t(number aM streef. ury, sfare, alM ZlP code)
3031 Top Hat Road, Princeton, IN 47670
�erson authwized by duty exxuted Pwrer of Attomey or by IC 61.142-0.7 Date (monN, tlay, yea�
AEdress of authorizeE person (number and svret, cily, stale. and ZIP code)