HomeMy WebLinkAboutMortgage_Boyle (3) e�"•'!ok STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Yown Year
a FOR DEDUCTION FROM ASSESSED VALUATION F� Ny '�`
� � State Form 43709(R11/6-09) g.d L
Prescribed by Department of Local Government Finance
INSTRUCTIONS: JUNileitt013
To be filed in person or by mail. Form filed with:
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 a,.,�` `�' uditor
on or before January 5 of the immediately succeeding calendar year. ((,� pp$ON COtlN I gotv,R�er
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor o7t�F vt�l I V
county where the property is located during the twelve(12)months before March 31 of each year the
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Danien J.-Berl- 82:41'
Taxing District a./ Key number/legal description Record number Page nu r
13000t
028-Princeton 26-12-18-103-001.654-028/Baldwin Heights L.5 B1.2. 20130201300003049 003fJU3049
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,current year date of gljcaLion tee C0 legal or equitable owner?
$46,500.00 $ /l.Q fS O Yes ❑ No , ,
If no,what is his I her exact share of interest? If owned with someone other than spouse,indicate with whom
Na Na
It name on record is different than that of applicant.indicate below: Is the property in question:Annually Assessed
Na 13 Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Kirkston Mortgage Lending, LLC
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
501 Cross Pointe Blvd.,Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
Na
Address of assignee(number and street,city,state,and ZIP code)
Na
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 20 20 20 20 20
Signature of County Auditor County Date(month,day,year)
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 I ntract buyer of the afore - tioned property on date application is filed.
Signatur (owne. full name' Date(moot ,day,ye
Alt� //// � (( //II ► / /2013
Full resit t ofapf�ca (numb. T�`g•:t, ,state.and ZIP code) "`ttttYY''
426 Lincoln Avenue,Princeton,IN 47670
Person authorized by duly executed Power of A1tomey or by IC 6-1.1-12-0.7 Date(month,day,year)
Address of authorized person (number and street city slate,and ZIP code)