HomeMy WebLinkAboutMortgage_Chandler (2) a".'=_� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count w�1 %�ai� r I
.d == FOR DEDUCTION FROM ASSESSED VALUATION _ • .
\ i' State Form 43709(RIO/11-08) \, 1 —peso' Princeton
\',y,:21 Prescribed by Department of Local Government Finance APR 0 3 2013
INSTRUCTIONS: File Mark
To be tiled 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. y�-��r171;;
2) Mobile/Manufactured Homes not assessed as Real Property:Must file during the twelve(12)mon�d- �:f t it a 1 .1i( ear
the deduction is sought. •vDITOR
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse^sid�e)
•
Vicki L. Chandler ocA.3?3 T(��{-�
Taxing District Key number/legal des ption Record number PapEAmitEr"wPnt
Princeton 26-12-07-401 28/Lot 70 feet of the E Half of Lot 9 21 1JIJt)i)
Assessed value of real property as of Mortgage I tract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
March 1.currant year March 1,current year date of application SOI 3it7 W legal or equitable owner?
$58,852.00 12 Yes ❑ No
- If no,what is his/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
13 Real Property ❑Annually Assessed
Mobile Home(IC 5-1.1-7)
Name of mortgagee or contract seller
Wells Fargo Bank,N.A. -
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
2650 Wells Fargo Way Minneapolis,MN 55467 �////"'/��1 /,{,////� �7/''////]
Name of assignee or other owner or holder of mortgage Vie /O i1 A z
Address of assignee(number and street,city,state,and ZIP code)
Y
Does applicant own property in any other If yes,what county? I What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
❑ ❑ ❑ Yes Yes No ❑ 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 I contract buyer of the aforementioned property on date application is filed.
S; iture(owners 11 namen Date(month,day,year)
act ure( (/r� 03/25/2013
Full resident address of applicant(number and street.city,state,and ZIP code)
119 S.Gibson St.Princeton, IN 47670
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 I Date(month,day,year)
Address of authorized person (number and street.city.state,and ZIP code) ` .
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