HomeMy WebLinkAboutMortgage_Maurero STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS � Count I Township � Year
-°i�,�',,'�y�} FOR DEDUCTION FROM ASSESSED VALUATION T
°:9'�!:�t Siate Form 13709 (R70 /11-08) Glb� 1 FL ��
�l PrescnCed by Department d Local Governmem Finance � L �
INSTRUCTIONS: �CB F�e Mpr)t,
To be lled in person or 6y mail wi(h (he CounryAuditor o71he county whe�e the property is located. < <U I �
Filing Dates: iJ Rea/ Property: Must file dunng fhe year /or which the deduction is soughf.
2) Mobi/e /Manu/ac[ured Homes not assessed as Real Property: Musf file dunng tha fwe/ve (72) months 6y¢ye f.�arc 37 ar
the deduction is sought �W��
See reverse side /oiadtlitional instruc(ions and qualifications. GIBSON COUNTY AUDITOR
�PO����� (ownera conVac� bvyer- see resbicfions on reverse
Blake W. Maurer and Kelly L. Maurer '
Ft. Branch I 26-1
ssessed value of real property as of
arUi 1. wrtent year
no. what is his I her ezaG share of interest?
Morcgaga / Contract ir
March 1, cunent year
II name on record is ai%erent ihan that ol ap�canL'vwicaie bebw
Name ot mortgagee w conVact se0er
Fikh Third Mortgage
AEtlress of mortgagee or mntract seller (num0er and 5veer, ciry, state, arM ZIP coCe)
5001 Kingsley Dr. Cincinnati, OH 45227
assignea or oNer owner or holtler o/ rtror,ga9e
ACaress of assgnee (number antl slreef. ciry, slate, and ZIP cade)
Dces applicant own property in any oNer
counry in InCiana7 � _.
�and�Walters�Enlarge
as of_ .Mortgage / Con✓act indebtedness unpaid as ot Is ihe applicant Ne sale
date of applicalion legal or equitable owneR
555,424.00 ❑x Yes ❑ No
If ovmed vnN someone oNer lhan spouse, inGiwte xiN wtwm
Is the property i^ 9uestion: MnuaDy Assessed
❑X Real Property Q Mnually Assessed
Has Nis tleduction been requestetl rn pmperry
forcurrenlyeaR ry
❑ Yes io
COUNN AUDROR
Deauction approvea in Ihe amount oL
20 _ 20 _ 20 20 _ 20 20 20
ISignaNre of Counry Audi:w I Counry Date (mrn:A, day, yeaQ
1/ We cerUfy under the penalry of perjury ihat the above and foregoing infortnation is true and wrtect and that Ihe appliwni is a resident of Indiana and
owner I conVact buyer of the aforementioned property on date applicaUOn is filed.
Syna:ure (owneYS (W name) I Date (monN. tlay. yean
01I31I2013
Full resitlent address of applicant (num0er and slreet, city, stale, antl ZIP code)
300 E. Locust St. Ft. Brench, IN 47648
Person auttwrize0 Ey Outy executed Pawer of M.omey or Gy IC &1.1-12-0] Date (month, day, yea�
ACOress of au'Jwr¢ed person (numaer antl slreet. ciry, sta(e, anC ZIP crotle)