HomeMy WebLinkAboutMortgage_Hoehn (2) d _t, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
,e FOR DEDUCTION FROM ASSESSED VALUATION -�1�'��-ggg--gggw-
a' y Gibson [UMcgdineryE/ 01
State Form 43709(R71/6-09) Ipp�r
Presaibed by Department of Local Government Finance
File Mark
INSTRUCTIONS:
To be tiled in person or by mail. Form
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be filed with the County Auditor or County Recorder of the county where the property is located . County Auditor
on or before January 5 of the immediately succeeding calendar year. • NI :__�s �i rder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the I.
county where the property is located during the twelve(12)months before March 31 of each year the GI: ID , • • ` • •• •
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Adam C. Hoehn and Lindsey A. Hoehn
Taxing District Key number/legal description l)// Record number Pagehasf�rutoent
Gibson d/ -i7-,0 9 -Z06-045./54-s// 201300001374
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,anent year March 1,current year date of application legal or equitable owner?
107,600.00 0.00 130,950.00 GI Yes ❑ No
If no,what is his I her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below Is the property in question:Annually Assessed
TA Real Property ❑Annually Assessed
t Moble Home(IC E7.1-7)
Name of mortgagee or contract seller
Hallmark Home Mortgage,LLC l /%
Address of mortgagee or contract seller(number and: ���, J1
7421 Coldwater Road, Fort Wayne, IN 4 J
Name of assignee or other owner or holder of mortgat
Address of assignee(number and street,city,state.a
Does applicant own property in any other „r......_.___ 19 District? Has this deduction been requested an property
county in Indana?
al Yes El No I Posey I for current year? ❑
Yes No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
ignature of County Auditor County Date(month.day,year)
� K< /,4—�
I 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(owner's full name) Date(month,day,year)
2)21/2013
Full resident address of applicant(number and street,city,state,and ZIP code)
9551 Winyard Place,Owensville,IN 47665
Person authorized by duty executed Power of Attomey 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)