HomeMy WebLinkAboutMortgage_Vaughndol-",'-�y� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C 70 ' vear
e_. � FOR DEDUCTION FROM ASSESSED VALUATION i
S•� SIa;eFwm43709(R71I6-09)
�� Presai�e0 by Department of Local Govemmen; Finance 1 �
STRUCTIONS: Q TF����1
To be filed in person oi by maiL Form filea vnm:
Filing Da1es: 7) Real Property: Must be complefed and dated in the calendar year7or which the tletluction is sought. C.'�,
Musf be filed with [he CountyAudifor or County Recorder o/ the county where !he property is locafed ou Auditor
on or be/ore January 5 0/ the immediatety Succeeding calendar year. oun �tIl rder
2) Mobile/Manu/acfured Homes nof assessed as Real Property: Must �le wiffi the CountyAuditoiol��SO COU TY AU I Vft
county where the property is Ixated dunng the twelve (12) months 6e;o�e Maich 31 of each year the
deduction is sought.
See reverse side /or additional insfmc(ions and qualifiwtions.
ApOficant (owner or convatfGuyer- see resviclions on reverse sMe) `/
Q � Y
TaAng Disina numCer / legal descripUOn Record numCer Page number
Montgomery 26-77-Ot-400-004.121-021 L 7 North Hilis Estates Sec. A ,�,Q� � �
Assessetl value W real property as of Mortgage / Cantraa i�WeC�etlness unpaid as of Mortgage / ConvaU iMebledness unpaid as of I5 �he appliwnt Ne sde
�arch 1, wnent year March 1, wnenl year dale o( aDWication legal or equi�aWe owneR
189,500 5123,000 S130,000 ❑� Yes ❑ No
tl no, what is his / her esad share of interest9 It owned with someone oNer Nan spouse, inEicate x7�h whom
If name on record is diPerent than Nat of a0d��^�. ���e belrnr. Is lhe property in question: Annually fvssessetl
❑� Real Properry ❑ MnuallyAssessed
Mobile Home (IC G1.1-7)
Name oi mongagee or conVact seller
Heritage Federal Credit Union
Address of rtwrtgagee or contract seller (number and s:reet, ury, state, arM ZIP code)
5388 Old State Road 66, Newburgh, IN 47630
Name of assignee or other owner or holder ot rtprtgage
Adtlress ot assignea (number and sbeet. ctty. s1are. and ZlPcode)
s aPO���nt avm property in any other If yes, what county? NTat Tasing Disina? Has ihis tletluction been reques:ed on property
Junry m Intliana? tor current yea�
❑ Yes ❑ No ❑ Yes ❑ No