HomeMy WebLinkAboutMortgage_Gruttadaurio 1} "o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
' FOR DEDUCTION FROM ASSESSED VALUATION
6; � State Form 43709(R11/6-09) Gibson Princeton 2014
., Prescribed by Department of Loral Government Finance i ' �'
INSTRUCTIONS: File Mark
To be filed in person or by mail. Form filed with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendi pr 7prA'hggt(tp deduction is sought.
Must be filed with the CountyAuditor or County Recorder o hitthe property is located 0 County Auditor
on or before January 5 of the immediately succeeding calendar year. ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Prop�e 1 Must fit wit e ty Auditor of the
county where the property is located during the twelve(1 rch 31 of each year the
deduction is sought. GIBSON COUNTY AUDITOR
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
David Gruttadaurio and Gruttadaurio
Taxing District Key number/legal description Record number Page number
Princeton 26-12-17-101-004.241-028 t20/ l '/ to
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 yea' March 1,current year date of application legal or equitable owner?
60,900 58,500 IS Yes ❑ No
If no,what is his I 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
O Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract sever
First National Bank of Allendale
Address of mortgagee or contract seller(number and street city,state.and ZIP code)
PO Box 1000, Mt. Carmel,IL 62863
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 II yes,what county? What Taxing District? Has this deduction been requested on property
county Indiana? for current year?
ty in ❑ yes 0 No
❑ 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 I contract buyer of the aforementioned property on date application is filed.
urn(owner's rue .t. :) Date(month.day,year)
Un SE--- r 3/14/2014
6•• v'X.. .i ce ..� ' / 1e-\L. All-6 —... A wait � ..
F 77 Went address of applicant(number and street city state,and ZIP cod:
915 E.Kentucky St.Princeton,IN 47670
Person authorized by duly 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)