HomeMy WebLinkAboutMortgage_Maurer (10)n•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
e�y\�q FOR DEDUCTION FROM ASSESSED VALUATION
, x^.. += 51 2012
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%�" i State Form 43709 (R71 / 6-09)
'�i, Presaibed by Department of Local Government Finance . Fi Ma
yis
INSTRUCTIONS: �
To be flled in person or by mail. f�d W�13
Filing Dates: 1) Real Property.� Must be completed and dated in the calendar year for which lhe deduc6on is sought.
Must be filed with the County Auditor or Counry Recorder of the county where the properry is located � County Audito�
on or before January 5 0l the immediately succeeding calendar year. ❑• rder
2) Mobile /Manufactured Homes not assessed as Real Property: Must file with the CountyAudifor ol the
county whe2 the property is located dunng the fwelve (12) months 6e%re March 31 of each year the �iIB80N�COUNTY AUDITQ{�
deducfionis sought.
See 2verse side /or addifbnal inst�uctions and ualifications.
AppliwN (owner oi con(ract buyei- see resMctions on reverse side)
Todd Maurer and Shanie Maurer
N� �'�z '--/
ssed value of real property as of
March 1, curtent year
If no, what is his / her exact share of intei
If name on record is tliHereni than that of
Name of mortgagee or wntract seller
Heritage Federal Credit Union
Address of mortgagee or contract seller (
5388 Old State Highway 66, Newt
Name of assignee or other owner or hold
Address of assignee (num6er and sheet,
Does applicant own property in any oNei
munry in Indiana?
❑ Yes
number I legal descriviion 26-22-14-300-001.760-024 / 12937 South
e Tree Drive Haubstadt, Indiana 47639
�so-oza
number Page number
'�� �d
Mortgage I ConVact Indebtedness unpaid as of Mortgage / ConVact indebtedneu unpaiA as of Is the applicant ihe sole
March 1, wvent year date ot apP�icafion lega equitable owner?
5224,000.00 Yes ❑ No
If owned wi�h someone o�her than spouse, indicate with whom
it, indicate below: Is the property in ques�on: Mnually Assessed
Real Property O Annually Assessed
Mobile Home (IC 6-1.1-71
IN 47629
20 _ � 20 _ � 20
I/ We certify under penalty of perjury thai the above and
owner / contrect buyer of the aforementioned property or
i atu�(cwners full name) / ��
resident address of applicant (num6er antl streSt, a sfate,
37 South Pine Tree Drive, Haubstadt, IN 4 639
person
��.�v��,
Dra���er \O
20
..!�.�.�'..
C�l'CI �0 . .....................
20
�
equestea on properry
❑ Yes ❑ No
20
information is true and cortect and thai ihe applicani is a resident of Indiana and
lication is filed.
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