HomeMy WebLinkAboutMortgage_Richardson (4) .' l
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ate'. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County I Township I Year
.a-_N� FOR DEDUCTION FROM ASSESSED VALUATION'
%' State Form 43709(R71/fi-09) -
�„ Prescribed by Department of Local Government Finance
INSTRUCTIONS: File
To be filed in person or by mail orm led 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 J L 2ul linty Auditor
. on or before January 5 of the immediately succeeding calendar year. County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the
county where the property is located during the twelve(12)months before March 31 of each year the float
deduction is sought
See reverse side for additional instructions and qualifications. • GIBSON COUNTY AUDITOR
Applicant(owner or contract buyer-see restrictions on reverse side) ..
Jessica M. Richardson _
Taxing District Key number/legal description Record number Pa�At9hhptlment
Town of Fort Branch 26-19-19-103-000.908-026/Lot 16 Lowe's Addition - I- 201300003501 •
Assessed vakie of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
March 1,cement year March 1,current year date of a li lion � .stn legal or equitable owner?
$92,500.00 - S ?//CJO� ( .� 12 Yes ❑ No
If no,what is his/her exact share of interest? It owned with someone{ther than spouse,indicate with whom
n/a n/a •
If name on record is different than that of applicant,indicate below- Is the property in question:Annually Assessed
IS Real Property ❑Annually Assessed
n/a Mobie 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
, n/a
Address of assignee(number and street,city,state,and ZIP code)
n/a
Does applicant own prooerty in any otne If yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for anent year?
❑ yes VNo ❑ yes ❑ No
/\ ,
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20_ 20 20 20_
•
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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 aforemention d property on date application is filed. .
Signaturtidy_
full name) . Date jmogfrt.day,y r)
/Vl/n / � /2073
Full residss of applicant(number and street,city,state,and ZIP code)
1005 ln Street,Fort Branch,Indiana 47648
Person authorized oy duty executed Power of Ahomey or by IC 6-1.1-12-0.7 Date(month.day.year)
Address of authorized person (number and street,city stale,and ZIP code)