HomeMy WebLinkAboutMortgage_Newton STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County I Township Year
i
FOR DEDUCTION FROM ASSESSED VALUATION I I
a.;/ State Form 43709(R11/6-09) Gib John 014
Prescribed by Department of Local Government Finance e a
INSTRUCTIONS:
To be filed in person or by mail. 711; '2013
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. C� County Auditor
Must be filed with the County Auditor or County Recorder of the county where the property is located
on or before January 5 of the immediately succeeding calendar year. -ecorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the .'q., i/;!mj%
county where the property is located during the twelve(12)months before March 31 of each year thh�BSO N COUNTY AUDITOR
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side) I
Joshua D.Newton
Taxing District Key number/legal description Record number Page number
Johnson 26-18-36-200-002.180-024 I 13 , r0
I 0
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of ,Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
Mardi 1,current year March 1,current year date of application legal or equitable owner?
191,600 235,700 I o Yes ❑ No
It no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
I
If name on record is different than that of applicant.indicate below: Is the property in question:Annually Assessed
N RealfProperty ❑AnnualyAssessed
II 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 street,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 I If yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? ❑ Yes 0 No for current year? ❑ Yes ❑ No
COUNTY AUDITOR I
Deduction approved in the amount of:
20 20 20 20 20 i 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.
Sigriat es full names /t Date(month,day,year)
,,`rtes h/J\ ',/(J 11/12/2013
resident address of applicant(number a d street city,state,and ZIP code)
734 W.Conwell Dr.,Haubstadt,I 47639
Person authorized by duly executed Power of Attorney or by IC 61.1-12-0.7 I.Date(month,day,year)
Address of authorized person (number and street,city,state.and ZIP code)