HomeMy WebLinkAboutMortgage_Ritter (2)�"`� STATEMENT OF MORTGAGE OR CONTf7ACT INDEBTEDNESS � Counry Township vear
d�-` u
-__�._� � FOR DEDUCTION FROM ASSESSED VALUATION
L�.��'�� r StateForma37o9(R7L6-o9) Gibson Montgomery 2073
"-�'-•'�� Presuibed by Departmenl of Local Govemmenl Finance
INSTRUCTIONS:
To be filed in person or by mail.
Filing Dates: 7) Real Property: Musi be completed and dated in the calendar year (or which the deduction is sough(.
Must 6e filed with the CountyAuditor or County Recordei ol the county where fhe property is located
on o� be%re January 5 o7 the immediately succeeding calendar year.
2J Mobile / Manulactured Homes not assessed as Real Property: Must file with [he CounfyAudifor of the
county vihere the p�operty is located dunng fhe hvelve (72) months before March 37 0/ each year the
deduction is sought.
See reverse side /or additional instmctions and quali�cations.
P.poficant (owner a conYdU buyer - see restncfions wr reverse sida)
Dean R. Ritter and Amra M. Ritter ��_, _, . a oo - o0 5, O eZ �' O ui i
TadrgOisirict Keynumber/1egaldescn0iion
Gibson 'u' a i 9A''YiP � ^ �?
C
GIBSON
Coun;�fy1 Audi;or
�u�y�corder
AssesseC value W real property as of MoM19age / ConVact iMebtetlness unpaid as of Mortgage / ConvaG indeb�edness unpaid as of k Uie appliqnl lhe sole
March 7, artmt year Martli 1, curtent year date of appliption legal or equitaEle axner?
94,500.00 116,988.00 116,988.00 � Yes ❑ No
If rro, w�hat is his / her eract share o( interest? If vwned wiN someona other Ihan spouse, intlicate vnih whom
It name on record is dRerent than Nal of appliwnt, indicate 6ebw Is the property in question: Mnualty Assessed
❑J Real Prooerty ❑ Mnualy Pssessed
Name of mortgagee ot conVact seller
Hallmark Home Mortgage, LLC
Address of rtwrtgagee or contract seAer (number and sveeC cdy, stafe. and ZIP cotle)
7144 Coldwater Road. Fort Wayne, IN 46825
Name of assignee or other ovmer rn hdder of mongage
and strtet.
Does applicant ovm pmperty in any oUer
munry in Indana?
❑ Yes
No
yes.
WhatTarina DisVict?
Has this tleEUCtion Oeen requested on pmperty
tor cunent year? �,. �
COUNTYAUDROR
Detlucfion approve0 in Ne amoum oC
20 _ 20 20 20 _ 20 20 20 _
Siyr.aWre of CounryAUd'ROr Counry Da:e (monlh. day. yeah
I/ We certify under the penalry of perjury :hat the above and foregoing information is we and correct and that the applicant is a resident of Indiana and�
ovmer / conVact buyer of the aforemenlioned property on date application is filed.
SiSnaWre (Q ' _ Date (monM, tlay, yea�
% � 1 V20/2012
Fu0 resitlent atltlress of applicant (number and sfreet, crty, state, anC ZIP cotle)
2944 Ba2167 Old State Road 65 S., Owensville, IN 47665
Person authorizeG by duly executetl Power o(Attomey or by IG 6-L142-0] Oate (month, tlay, year)
Address ot au.horized person (number arM sbae:, ciry. stafe, arM ZlP code)