HomeMy WebLinkAboutMortgage_Garrett (20) Y`'�' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
° _ ° FOR DEDUCTION FROM ASSESSED VALUATION ��-
�;/'- State Form 43709(R11/6-09)
d / Prescribed by Department of Local Government Finance
INSTRUCTIONS: . I wryly-
To
be filed in person or by mail. I Form filed with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. � County Auditor
Must be filed with the County Auditor or County Recorder of the county where the property is locat�EE -n3
on or before January 5 of the immediately succeeding calendar year. I ❑ Cou y 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 th •
deduction is sought. AUDITOR
See reverse side for additional instructions and qualifications. (MBSON COUNTY
Applicant(owner or contract buyer-see restrictions on reverse side)
BRADLEY W GARRETT HANNAH J GARRETT
Taxing District Key number I legal description R=-. u Page num r ger
UNION 26-19-18-100-000-526-025 Ip bI 11 Q
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
March 1,current year March 1,current year date of application legal or equitable owner?
137900 135602 135602 I n 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:Amorally Assessed
0 Real Property ❑Annually Assessed
I Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
MORTGAGE SERVICES, III
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
502 N HERSHEY RD, BLOOMINGTON, IL 61704
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? ❑ yes o for current year? ❑ ❑
Yes No
I
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 0 20
Signature of County Auditor Count' i Date(month.day,year)
I 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.
Scgr2ature(owners full name) tVa\e(month,day,year) 7
� ` C/,//,4, r f4j� I //-//-/1/
Full resid nt address of cant(number and street,city,state,and ZIP code)
6507 S 50 W FORT BRANCH, IN 47648 -
Person authorized by duty executed Power of Ahomey or by IC 6-1.1-12-0.7 ate(month,day,year)
Address of authorized person (number and street,city,state,and ZIP code)
I