HomeMy WebLinkAboutMortgage_Armstrong (4) / o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Court Year
* %l\ FOR DEDUCTION FROM ASSESSED VALUATION Igr
,. Slate Form 43709(RN/6-09) Gibso I p au s d 014
(� Prescribed by Department of Local Government Finance (� t
INSTRUCTIONS: File M-rk
To be filed in person or by mail. Form fled 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 / Q ou 1
on or before January 5 of the immediately succeeding calendar year. ' rTrr-i rTiff4 Recorder
2) Mobile/Manufactured Homes not assessed as Real Property Must file with the County Auditor ofrly tiso -
county where the property is located during the twelve(12)months before March 31 of each year t/e
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see rest ictions on reverse side)
Megan Armstrong
Taxing District Key number I legal description Record nurpbe9 Page number
Haubstadt 26-19-31-304-000.082-009 lO J e(/I7
Assessed value of real property as of Mortgage/Centred indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
March 1.tarred year March 1,current year date of application legal or equitable owner?
53,900 168,265 GI Yes ❑ No
It 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
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
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 El 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.
Signal ow s lu9name) /21 ^ Data(month.day,year)
(0 8/30/2013
Full resident a ess of applicant(number and street.aty,slate,a IP code)
202 E El t.Haubstadt, IN 47639
Person authorized by duly executed Power of Attorney or by IC .1-12-0.7 Date(month,day,year)
Address of authorized person (number and street.City,state,and ZIP code)