HomeMy WebLinkAboutMortgage_Helmer�y STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count 7ownship Year
-ij�� FOR DEDUCTION FROM ASSESSED VALUATION
S� ' StateFwma3709(ft71/609)
��'�• P�escnbetl by Oepariment ol Lofal Govemment Finance
STRUCTIONS: �
To 6e filed in person o� 6y mail. QC �J7��
Filing Dafes: 1J Real P�operty: Must be compleled and dated in the calendar yea�lor which the deduction is soughl. County Audi;or
Mus( be filetl wifh fhe CountyAudifor or Counry Recorder o7 fhe counry where the pmperty is localed
on or belore January 5 o7fhe immediately succeeding calenda� yeac C'� unry Recorder
2) Mobile /Manu/actured Homes not assessed as Real Pmperty: Musf file with fhe CountyAudilor ol (he
counry where fhe property is located dunng the tweNe (12) months 6efora March 31 o/ each y
deduction is sought ��N COUNTY qUDITOR
See reverse side !or addi(ional ins[rucfions and qualifications.
AppGCant (owner w connad buyer - see reunctims m reverse side)
Enc M. Helmer and Chastity J. Helmer
Tadng �istnc� Key numbeN legal Eescnption Recortl numDer Page num0er
Fort Brench 26-19-i&302-000.786-026Lot 21 Tretter Park p��( � �j�3
Hssessed raNe Ureal property as o( Mortgage / ConUad inCebtedness unpaid as of Mongage / ConVact iMebledness unpaiC as ol Is Ihe applicant IDe sde
7arth 1, artent year March 1, wrtent year date of aDW���� legal or equi�aMe ameR
5735,300.00 S„4,5o0.0o s>>4.aoo.00 o Yes ❑ No
If no. whal is Ns / her exact share of interest? It owned with someone other Nan spouse, inEirate wiN whom
tl name on reoorC is CiPerent tlian fhat o( apdiwnt, iMicate below. Is the property in ques�on: Annually Assessetl
❑� Real Pmperry ❑ MnualyASSessed
Mobile Home (IC 6-1.1d)
Name of mongagee or mnVap seller
Fifth Third Mortgage
Mtlress of rtrortga9ee or contract seller (number aM sfraet, ciry, s:ate, and ZIP code)
5001 Kingsley Drive, Cincinnati, OH 45227
Name of assignee or other owner or �older of mortgage
Adtlress ot asvgnee (n�mber and sfieet. cRy. sfare. end ZIP code)
s applicant awn O�oPerry in any other If yes, what toun,y? Whai Tazing Disirict? Has Nis tleductlon been reques:e0 w pmperty
�unty in Indiana? for wnent yeaY.�
❑ Yes ❑ No ❑ Yes ❑ No