Loading...
HomeMy WebLinkAboutMortgage_Edwards (2) taZ 1 FOR DEDUCTION FROM ASSESSED VALUATION JATION INDEBTEDNESS I I Township Year I State Form 43709(R10/N-08) t n on i. Prescribed by Department of Local Government Finance yr \.r n e cv INSTRUCTIONS: APR 2 6 201,1e Mark 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. 2)Mobile/Manufactured Homes not assessed as Real Property:Must file during the twelve(12 nt S 31 of each year the deduction is sought. See reverse side for additional instmctions and qualifications. GIBBON COUNTY AUDITOR Applicant(owner or contract buyer-see restrictions on reverse side) Keith M. Edwards and Lon M. Edwards Taxing District Key number/legal description I Record number Princeton 26-12-06-104-000.610-028/A pt.of the SE Qtr of the NW Qtr of Sec.6 Instrument Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appl99iw2n Eu1922167 March 1.current year March 1.current year date of application legal or equitable owner? 338100.00 © 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 6-1.1-7) Name of mortgagee or contract seller Wells Fargo Bank 1 E.22nd St.Suite 600 Lombard, IL 60148 Address of mortgagee or contract seller(number and street.city,sate.and ZIP code) 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 If yes,what county? What Taxing District? Has this deduction been requested on property county in Indiana? for current year? ❑ Yes ❑ No ❑ Yes ❑ No COUNTY AUDITOR Deduction approved in the amount of: 20 20 1 20 20 20 20 20 Signature of County Auditor County I 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 buy of the aforementioned property on date application is filed. Signa sfu na e) ,�./J �-x Date(month.d04/19r) /2/efp 0,year) 013 Full t address of pplicant(number an3 street,city,state,and ZIP code) 1135 N. Main 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 steer.city.state.and ZIP code)