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HomeMy WebLinkAboutMortgage_Johanningsmeier (2) /,,-'�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun ownshi I Year Ilse ! FOR DEDUCTION FROM ASSESSED VALUATION 1/ State Form 48709(R70111-08) Gibson oh s fil • / Prescribed by Department of Local Government Finance p�,y,gl1 I INSTRUCTIONS: FEBIt@U13 To be filed in person or by mail with the County Auditor of the county where the property is located. Filing Dates: 1) Real Property:Must file during the year for which the deduction is sought. /1 2) Mobile/Manufactured Homes not assessed as Real Property:Must file during the twelve(12)months befo art y!a the deduction is sought. See reverse side for additional instructions and qualifications. GIBBON COUNTY AUDITOR Applicant(owner or contract buyer-see restrictions on reverse side) William R.Johanningsmeier and Marcia Johanningsmeier Int teunpt Taxing District Key number/legal description r a_a Record number I Page 051 Johnson 26-18-36-200-002.317-024/Lot 2 in Misty Layne Sub. Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole March 1.current year March 1,current year date of application legal or equitable owner? . a-23, 6oa• vO © Yes ❑ No If no,what is his I her exact share of interest? If owned with someone other than spouse,indicate with whom It name on record is different than that of applicant,indicate below: Is the property in question:Annually Assessed ©Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller German American Bancorp. Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 711 Main St.PO Box 360 Jasper, IN 47547-0360 - Name of assignee or other owner or holder of mortgage Address of assignee(number and street.city state,and ZIP code) Does applicant own property in any other I If yes,what county? What Taxing District? Has this deduction been requested on property it county in Indiana? ❑ ❑ No for current year? Yes ❑ Yes ❑ No COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20_ 20 20 20 Signature of County Auditor County Date(month.day,year) I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Signature(owners full name) Date(month,day,year) 01/25/2013 Full resident address of ap t(number and street,city late,and ZIP code) 9962 S. Misty Layne Haubstadt,IN 47639 Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year) Address of authorized person (number and street.city,state,and ZIP code)