Loading...
HomeMy WebLinkAboutMortgage_Mescher ^.'zi� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS . County I Township I Year I i � FOR DEDUCTION FROM ASSESSED VALUATION � �� Stale Form 63709(R10/11-08) 1 o P o � � Prescribed by Department d local Government Finance INSTRUCTIONS: File Mark To be filed in person or by mail with the CountyAuditor of the county where the property is located. A Lr PP q 2-,1013 13 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)months before March 31 of each year the deduction is sought. y See reverse side for additional instructions and qualifications. '412i' 1 Applicant(owner or contract buyer-see restrictions on reverse side) Steven L.Mescher and Debra J.Mescher Taxing District Key number/legal description Record number I Pagl it3 tJMent Princeton 26-12-06401-001.931-028/Pt of the NW Qtr of the SE Qtr of Sec.6 201300002028 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,convent year date of application legal or equitable owner? $50,000.00 13 Yes ❑ No If no,what is his/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 FifthThird Mortgage Address of mortgagee or contract seller(number and street,city,state.and ZIP code) 5001 Kingsley Dr.Cincinnati,OH 45227 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? E3 No ❑ Yes ❑ No COUNTY AUDITOR Deduction approved in the amount o: 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 inform)ation is true and correct and that the applicant is a resident of Indiana and owner/contra uyer of the aforementioned property on date application is ftj d. ign • re( e!s, ) / �%% ` / I Date(month.day,/1 ad {oP/p)/�.LC,r� 04/12/2013 Full resident address of plicant(number and street,city,state,and ZIP code) 1607 Cottonwood r.Princeton,IN 47670 Person authorized by duty 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)