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HomeMy WebLinkAboutMortgage_Duke (2)e.*�"•�ai STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count I 7ownship Year ;n _,��,� ; FOR DEDUCTION FROM ASSESSED VALUATION State Fwm s3709 (R71 / 6O9) Gibson Paloka 2013 ���' PresvibeC by Department ot Local Govemment Finance INSTRUCTIONS: File Mark To be filed in person or by mail. rm d vmh� Filing Dafes: iJ Real Property: Must be completed anC tlated in the calendar year ior which fhe dedudron is sough(. Must be lled wifh the CountyAudifor or County Recorder of fhe county where the property is loca[ed n u,or on or befo�e January 5 0! fhe immediafely succe=ding calendar year. O Coun;y Recorder 2) Mobile /Manulactured Homes not assessed as Real Property: Must �le with the County Auditor o( the crounty where the property is located dudng the MieNe (12) months before March 37 ot each year the deducfion is sought. c�.m� - See reverse side /or additional instructions and qualificafions. Applifant (ownerw cnnhact buyer- see resincfmns on reverse Stephen B. Duke ui(g District Gibson property as of Key numher / legal descnption 26-04-36-200-001.049-027 207,200.00 If rro, what is his / her ezaa share of inierest? If name on record is diYerent Nan Name of mortgagee or conVact seller Mortgage Masters of Indiana, Inc. Mortqa9e / ConVacl indebtedness unpaitl March 1, curtent year 232,000.00 belon- Address of rtartgagee or conVact seller (number and sbeeL aty, state. 7144 E. Virginia Street, Evansville, IN 47775 Name of assiqnee or o:her rn+ner or hdder of rtrortgage Address of assignee (n:unber anC sfreeL �'ity, sfate. antl ZIP cotle) Dces aPP���i own property in any � counry fn Ind'una? ❑ Yes approvetl in Ne amouni o:: 20 _ I 20 of CountyAudttor If yes. �xhat munty? r� ciesoN couNrr Recortl number aoi� ;onVacl intlebtetlness unpaid as of Is Ne applicant Ne sole plion legal or equifable owne�? 1.00 ❑O Yes ❑ No 1/ owne0 wiTh someane What Tazing Dismtt7 )UNTY AUDITOR 20 _ 20 _ Caun,y Is the property in question: Annually Pssessed �❑ Real Property ❑ Mnually Assessed requested rn pmperty 20 Date (monN, tlay, year� r� I I We certify under the penalry of perjury that the above and foregoing information is we and wvect and that the applicant is a resident of Indiana and owner I convaci buyer of the aforementioned property on date application is filed. i0 resident adCress of apPlicant (number and sfreel, cdg state. 2343 N. Tower Lane, Princeton, IN 47670 tluly execule0 Power ot Anomey or by IG 61. of au'.horixed person (number arM sbeei, dry, sfa(e, Date (month. tlay, year) 11I15/2012 Oate (monN. day, yea�