HomeMy WebLinkAboutMortgage_Hoover (2):
�,,. R•n� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun T hi r
�� FOR DEDUCTION FROM ASSESSED VALUATION
�� � State Fortn 43709 (R71 / 6-09) 51 0
\
�.�`i.� Presabed by Departrnent of Local Government Finance FilO MBfk
,•'• DEC 7 2012 �
INSTRUCTIONS:
To be fJled in person or by maiL For�Y@
filing Dates: 1) Real Property. Must be completed end dated in fhe calendar year Io� which !he deduction is sought. f �
Must be filed with the County Auditor or County Recorder of the county where the propeRy is located � Caun A�OitonrR
on or before January 5 0l the immediately succeeding calendar year. IBS(IN CO���xhQ���fUer
2) Mobile / Manufacfured Homes not assessed es Reel PropeRy: Must fife with fhe County Auditor o1 the
county whe2 the property is located dunng the hvelve (12) months befora Maich 31 0/ each year the
deductionis sought.
See reverse side for additpnal insbuctions end ual�cations.
Applicant (ownerorcontraU buyer- see resfidions on 2verse side)
Larry B. Hoover and Lizabeth D. Hoover
Taxing Districl Key number / legal description 26-18-13-101-001.111-026 / PfOpBAy
� /`-�2� Address
715 Kennedy Drive Fort Branch, Indiana 47648
�ed value of real property as
1, current year
no,
t name on n
18-13101-001.111-026
Mortgage / ConVact Indebt
March 7, cuvent year
or mortgaBee or convaa sener
3ge��Federal Credit Union-. - --
u ot mortgagee or conVaG seller (number and s
_;.�'_._......,�.. - .
�ame ot assgnee or otner owner or noiaer m mo�
Does applirant own properry in any
counry in Intliana?
❑ Yes
as of Mortgage / ConVad intlebletlne
date of appliwtion
med with someone other Nan spouse,
��� /�,9
d as of Is the applicant ihe sole
legal or equitabie owneR
9 Yes ❑ No
he property in quesuon: Mnualry Pssessetl
Real Property ❑ Annualty Assessed
- ._ . _ . _ .AA..4.A.. IJ.....n /1!` C.1
�� ���� �-�i z��,
o No �bD irP✓ �f�j q
Dra�r•er N0.4 .P`...���,�J.,
.
or cuvent yea(?
on
20 20 C�I'd \`� . .....................
20 20
ipnaNre of Counry Auditor Counry Date (montA, day, yea�
I/ We certify under penalty of perjury ihat the above and foregoing infortnation is true and correC and that the applicant is a resident of Indiana and
owner / contract buyer of the aforementioned property on date applicati n is filed. -�— -- --- ----- - ��- -----
ature o u/l na e Date (month, day, yea�
. .. ' . . 1 � � f . � . .
�_ (/ II—
,� _ .. - ..,, . : . -.. l�y�i i �c�: :(� _ (. .�1-t�(i�--=-__ ' '�") _�(� =7 �_'------- --
:�..• -
5 ennedy:Drive
=1N 47648 - -
wer oi Attomev or by IC &7.1-7
' �._:• z::. .. . I
dress of authorized person (num6ei and street, city, state, and ZIP code)