HomeMy WebLinkAboutMortgage_Hoffherr � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
nit_ '4 FOR DEDUCTION FROM ASSESSED VALUATION
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State Form 43709(R11 I 6-09) GibsoFj JPrescribed by Depaent of Local Gernment Finae g® , f�a
INSTRUCTIONS:
To be filed in person or b mail. N with.
by mail Y 213
Filing Dates: i) 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 Ii County Auditor
on or before January 5 of the immediately succeeding calendar year. n/❑ rder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the ¢7PAi pp
. county where the property is located during the twelve(12)months before March 31 of each year tho
131BSON COUNTY AUDITOR
deduction is sought.
See reverse side for additional instructions and qualifications.
App(cant(owner or contract buyer-see restrictions on reverse side) �/1�
Megan B.Hofiher and Benjamin L.Hoftherr QX1-)Il 53°
l
Taxing District Key number/legal description Record number Page number`
Haubstadt 26-19-31-300-000.334-009 l 3 301
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?
73,900 79,920 B 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
GI Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Masters of Indiana, Inc.
Address of mortgagee or contract seller(number and s met.city.state.and ZIP code)
7144 E.Virginia St.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?
El ❑ No
Yes O 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.
S (N s/ mt\ ) YI ,/ V/ lfV\4 1"1v Data(month.day.year)
9/27/2013
Fug rei nt
address of applicant(number arlUtreet,city,state,ard_ZIP cod
505 E.Gibson St.Haubstadt,IN 47639
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Data(month,day,year)
Address of authorized person (number and street.city,state,and ZIP code)