HomeMy WebLinkAboutMortgage_Seaton STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
: FOR DEDUCTION FROM ASSESSED VALUATION 1
State Form 43709(R11/6-09) �g�®I--y,�' Gi on Ft Branch 2014
` "•"' Prescribed by Department of Local Government Finance °
• File Mark
INSTRUCTIONS: JUN O O 2013 To be filed in person or by mail. J U 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 tiled with the County Auditor or County Recorder of the county where f •roperty' lo „ -• County Auditor
on or before January 5 of the immediately succeeding calendar year. I, , frit ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must fit ivitht.At 0 b (`idnOr-.1 baTOR
county where the property is located during the twelve(12)months be i M• H - her
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Amber R.Seaton
Taxing District Key number/legal description Record number Pager
Ft Branch 26-19-18-304-000.592-026 /3—,51q..5
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 application legal or equitable owner?
94,700 142,857 O 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
0 Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Top Rite Financial, Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
123 E.Grand River Ave.Williamston, MI 48895
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 0 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/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.
• lure(o neYy/yll n m ) Date(month,day,year)
K I 6/14/2013
u resident address of applicant(number and street,city,state,and ZIP code)
707 E.Walnut St.Ft.Branch,IN 47648
Person authorized by duly executed Power of Attorney 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)