HomeMy WebLinkAboutMortgage_Castleman� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C To ni � Year
�� FOR DEDUCTION FROM ASSESSED VALUATION
SU;e Fwm a3709 (R71 / 6-09) Gibson Gibson 2072
`��� + Presaibed by Depanment af Local Govemmen[ Finance
�TRUCTIONS: � �I
To 6e Iiled in person o� 6y mail. C r
Filing Dates: 1J Real Property: Must be completed and dated in the calendar year fo� which the deduction is soughf.
Must be filed vnth the County Auditor or Counry Recorder o7 the county where the propeRy is loc C Audiror
on or before January 5 of fhe immediafety succeeding calendar year. ��SON OU Y F�j1D1T�2
ounry ecorder
2J Mobile / Manulactured Homes not assessed as Real Property: Must file with the CountyAuditor o/the
county where lhe pmperty is located dunng the twelve (12J months 6efore March 31 o/each yeai the
deduction is sought.
See reverse side /oi additional instructions and quali�tations.
Applicant (owner or convact buyer - see resMnions on reverse vde)
Jack L Castleman
Tazirg Distria Key number / legal desuiption Record number Page number
6i6xn p� 2G19-19-204-001.276-026 Lot 34 Indian Hills, unrecorded sub
Assessed vaNe d real poperty as of Mortga9e / Contrad in0ebtedness unpaid as of MoM1gage / ConVact indebteCness unpaiE as of Is the apdican Ne sol
•�arM 1, anem year March 1, cunent year Eate of appliwtion legal or equitable owner7
39100.00 123400.00 159481.00 O Yes ❑ No
n no, what is his / her ezact share of in,erest? If owned wiN someone oNer ihan spouse, indiwte wi� wtiom
It name on record is tli9e2nt �han ihat of applicant, indicate belovr. Is �he pmperry in question: Mnually Assessed
�❑ Real Property ❑ Mnualyl�ssessed
MobBe Home pC 6-1.1-7
Name of mortgagee or conVatt se0er
Top Flite Financial Inc.
Address of mortgagee w contract seDer (number and sveet, ury, sfate, antl ZIP code)
123 E. Grand River Avenue, Williamston, MI 48895
Name ot assignee or oNer owner or hdder of mongage
ACCress of assignee (numberarMSireet, dty, stale, and Z/POOde)
es applicant oxn propeny in any other tl yes, whai counry7 NTat Taun9 Disvict? Has Uiis Aeduabn been requested on properry
.unry in Indiana? for wnent year?
❑ Yes �❑ No ❑� Yes ❑ No
COUNTY AUDITOR
Detluction apProved in the amouni of:
20 20 20 �20 20 20 20
Signature of Counry Audicor Counry Date (month, day, year)
I/ We certify under the penalry of perjury that ihe above and foregoing intormatlon is We and corted and ihat the applicant is a resident of Indiana and
ovmer / conUact buyer of the aforementioned prop on date application is filed.
(ownels t na,me) Date (month, day, year)
09/30111
Fu0 r idenc address o licanl (number antl street, crty, slafe, and ZIP tode)
3 0 East 780 South Fort Branch, IN 47648
Person authorizeE by duty ezewte0 Power af Attwney or by IC E7.1-12-0.7 Oatc (monN, day, year)
Adtlressofauthonzedpersan (numberandstrcet,city,stare,andZlPcode)