HomeMy WebLinkAboutMortgage_Wolfe (2) �"'n STATEMENT OF MORTGAGE'OR CONTRACT INDEBTEDNESS Count Township Year= FOR DEDUCTION FROM ASSESSED VALUATION
" State Form 43709(R11/6-09) % f
��:- Prescribed by Department of Local Government Finance / , 1
File r i
INSTRUCTIONS:
To be filed in person or by mail. F. A
8176
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. ?�f/11 t��
Must be filed with the County Auditor or County Recorder of the county where the property is located ❑ Coun4ltili;or
on or before January 5 of the immediately succeeding calendar year. t'41. C•unty Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of f Qs° 1_et_.:x __
county where the property is located during the twelve(12)months before March 31 of each year the OVN 77
deduction is sought TY A U•
See reverse side for additional instructions and qualifications. "i)TOn.
Applicant(owner or contract buyer-see rest fictions on reverse side)
VIRGINIA DEANNA WOLFE
Taxing District Key number/legal description R en.521 9 P urn
CIVIL TWP 26-06-20-100-000.768-017
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 comer?
$106,837.00 O 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
TA Real Property ❑Annually Assessed
Mobie Home(IC 6-L1-7)
Name of mortgagee or contract seller
KIRKSTON MORTGAGE LENDING,Lit
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
501 CROSS POINTE BLVD., EVANSVILLE, INDIANA 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 YstNo ❑ yes ❑ No
COUNTY AUDROR
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.
Sign ur (owners tuft name) f /� Date(month,day,year)
.vu..tr £Lac MML LA /�J— jC i 12/31/2013
Full resident ad of applicant(number and steer,city state.and ZIP code) /
4396 N.65 E.,FRANCISCO, INDIANA 47649
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)