HomeMy WebLinkAboutMortgage_McDowell (2) e1o\ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County I Township I Year
► 4 FOR DEDUCTION FROM ASSESSED VALUATION FILED fV C
' State Farm 437091811 nt of L �I, �1
�,.,,-J Prescribed by Department of Local Government Finance
INSTRUCTIONS:
To be filed in person or by mail. AUG j.5t`9atl73th:
Filing Dates: 1) Real Properly:Must be completed and dated in the calendar year for which the deduction is sought. C U I J
Must be filed with the County Auditor or County Recorder of the county where the property is located ❑ County Auditor
on or before January 5 of the immediately succeeding calendar year. . - Recorder
2)Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of 9:C. ; q ifffTi;
county where the property is located during the twelve(12)months before March 31 of ea®I:•-•u OUNTY AUDITOR
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
BRANDY S.MCDOWELL
Taxing District Key number I legal description Record number P�pt number 3 OAKLAND CITY 26-14-18-403-000.234-007/LOT 17 HARGROVES ADDITION �7//
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpai as of Is the applicant the sole
March 1,current year March 1,current year date of application legal or equitable owner?
51,800 46,601 FA Yes ❑ No
If no,what is his I 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
GERMAN AMERICAN BANCOPR
Address of mortgagee or contract seller(number and street,city,state.and ZIP code)
711 MAIN ST JASPER IN 47547
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 Indiana? for current year?
ty in y❑ 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/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.
$n a (owner's f u l l n e) s- Date(month,day,year)
07/29/2013
Full resident address of ap nt(number and street,city.state,and ZIP code)
126 S JACKSON ST OAKLAND CITY IN 47660
Person authorized by duty 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)