HomeMy WebLinkAboutMortgage_McFarlandM �a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
a/*`,:
;e�; FOR DEDUCTION FROM ASSESSED VALUATION
3• State Fortn 43709 (R71 / 6-09)
��� PreuribeC Oy Deparimant o( Loral Government Finance
iSTRUCTIONS �
To be filed in person or by mail. Pn if 1fFyy1(�ya with:
Filing Dates: 1J Real Property: Musf 6e canpleled and tlated in fhe calentlar year (or which fhe de0uc(ion is soughf. n�� ,�U I
Must be filed wiM the Coun(y Audi(or orCounty Recortle� ol the county where fhe pmperty is bcafetl I � unty Audiror
on or be7ore January 5 0l [he immediately succeeding calendar yeac C�J. County Recorder
2) Mobile /Manulacmred Homes not assessed a5 Real Property: Musl file wiih 16e CounlyAudifoi o/ fhe
counry where tha pmperty is located dunng the Rvelve (12) months be;ore March 37 oteach yeai fhe
deduction is sought. GIeSON COUNTY AUDITOR
See reverse side !o� additional instructions and qualifica(ions.
aPO��� (a�'ner w convad Ouye�- see rewiclions m reverse siCe)
John G. McFarland, I�I and Heather Michele McFarland
Taurg Disuict Key numbeN legal desuiptlon Record numDer Page numDer
Union 26-7&77-300-001.820-025 Q� �
Assessed value d real property as ol Mortgage / Contrad indebtedness unpaiE as of Mohgage I Contraa irWebtedness unpaitl as of Is Ihe apdicant Ne scle
A7arM 1, curtent year March 1, current year date ol apdication legal or eQUi�able owner7
S709,700.00 5107,698.00 O Yes ❑ No
If no, what is his / her exaa share of interest? If mmed witn someone oU�er IDan spouse. fnCiwte wiN whom
L` name on record is GiPerent Nan Ihat of app4cant, indicate Delow: Is the pmperty in Ques6on: Mnualy hssessee
Scott Williams and Amber Williams O Real Prope .ry Q MnuallyASSessetl
Mobile Home (IC 61.1-7)
Name of mortgagee or conUact seller
American Financial Resources, Inc. �
Address of moM1gagee or coNract seller (number arM street, ury, slate, antl ZIP cotle)
9 Sylvan Way, Parsippany, NJ 07054
Name of assignee or other owner or holder of rrortgage
AEtlress ot assignee (number and 4reeL ciry, sta:e. and ZIP code)
oes applicant own proPerry in any oNer II yes, what caunry? V✓nat Taxing Distna? Has this tleGUCtion been reques:ea on pmperty
,wnry in Indiana7 � Ye5 ❑� No for cunent yeaR � Ye5 ❑ No
COUNTYAUDITOR
Detluction aOM�'ed in Ne amount ol:
20 20 20 _ 20 _ 20 20 _ 20
Signalure of Counry AuEiror Counry Oate (monlh, Eay, year)
I I We certify under Ihe penaliy of perjury Ihat the above antl foregoing infortnation is Irue and cortect and that (he appliwnt is a resideni of Indiana and
owner / wnVact buyer of the aforementioned property on date application is filed.
Signature (owne/s tuH name) �ate (monfn. day, yea�
` .�',�,,,,� oana�2ot2
Ful residenl aEtlress ol applicant (number arM sfreal. ciry, staie, antl ZlPcode)
6340 S 225 W, Fort Branth, IN 47648
Person auUwrizetl Cy duty executetl Power olAttamey or Oy IG fi1.5-12-07 Date (rtronN, tlay, year)
AEOress of aullwrized person (numberarM sVeef. crty. siate. antl ZlPwde)