HomeMy WebLinkAboutMortgage_Brown (17)i'
:•.:'�a STATEMENT OP MORTGAGE OR CONTRACT INDEBTEDNESS
i._ � FOR DEDUCTION FROM ASSESSED VALUATION -
State Form 33709 (R71 / 6-09)
�l Prescd6ed by Oepanmem of LoW Govemment Finance
INSTRUCTIONS:
Count Township Year
Fil rk I
To be filed in person or by maiL Form n d wim:
Filing Dates: 7J Real Property: Must be complefed and dafed in the calendar yearlo� which the tleduc(ion is sought.
Musf be filed wi(h Ne Counry Audiror or County Recorder o/ fhe counry where the pmpeRy is locafed D� ��•����Y Auditor
on or be/ore January 5 oI the immediafely succeeding calendar year. ounty Rewrder
2) Mo6ile /Manulactured Homes nof assessed as Real Property: Must �le with the CountyAuditor o/the C
county where the property is locafed dunng fhe Rvelve (72J monfhs 6etora Ma(ch 37 of each year the
deducGon is sought.
See reverse side !or additional instructions and quali�cations. GI BSON COU NTY AUD ITOR
�pliwnt (owner w crontract buyer - sec
Jason F. 8 Roberta A. Brown
Johnson Township
March 7, wrtent year
raverse
26-23-08-200-000.1
II no, what is nis / ner exact share o1 interest?
Instrun?nt
20120on0a43
�/ Convact indebledness unpaid as of Mongage I ContraG inEebteEness unpaiG as of Is Ne applicant Ne sde
wnent year date of application legal or equitable owner9
5157,500.00 ❑� Yes ❑ No
If ovmetl wiN mmeone other ihan spouse, inEiwte with wtian
If name on rewrd is Eifterent lhan that of apptifant, indicate bebw.
rtwrtgagea w convact seuer
�ae Federal Credit Union
dtlress of mortgagee w contract se0er (number antl street, cdy. state, and ZIP code)
5388 Old State Road 66, Newburgh, IN 47630
Name of assignee or other owner or holder of rtwngage
(number antl street, city, slafe, antl
Doas appllcant own property in anY �
counry in Indiara?
n Yes
No
What Taring DisWa?
Is fhe property in quezibn: Mnualty Assessed
❑� Real Pmperry ❑ MnualyAssessed
Has Nis tleEUCtion bean requested on property
for curtent yeaR
❑ Yes ❑ No
COUNTY AUDITOR
Detluction appwtd in Ne amount of:
20 _ 20 20 _ 20 20 _ 20 _ 20 _
Sgnature ot Counry AuOi.or Counry Date (monN. day, yea�
I/ We certify under the penalry of perjury ihat the above and toregoing infortnation is true and wrtect and Nat the appiicant is a resident of Indiana and
owner I conVact buyer of the aforementioned property on date applicalion is filed.
o.mels7u/lnam Date(monNl� e� � d
F eSiCent atltlress of applicant (number and sLeef, city, sfate, arM Z/P code)
1187 East State Road 68, Haubstadt, IN 47639
Person auihorizeE by Culy exewteC Power ot Attomey w by IC G7.142-0.7 Dare (manN, day, yea�
ACEress of au0w(¢eC Derson (numberand sLeet, nry. state, arMZlPcode)