Loading...
HomeMy WebLinkAboutMortgage_Bittner .6"7r STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County I Township Year _: FOR DEDUCTION FROM ASSESSED VALUATION ar ' l' State Form 43709 R10/11-0a ( I Gibson pli bsta ,;,, f Prescribed by Department ol Local Government Finance INSTRUCTIONS: File Mark To be filed in person or by mail with the County Auditor of the county where the property is located. MAR 252814 Filing Dates: 1) Real Property:Must file during the year for which the deduction is sought. 2) Mobile/Manufactured Homes not assessed as Real Property:Must file during the twelve(12)months belorp,March 31 of each year the deduction is sought See reverse side for additional instructions and qualifications. GIBSON COI' Applicant(owner or contract buyer-see restrictions on reverse side) TY A VUI rOR Alex N.Bittner Taxing District Key number I legal description Record number Page number Haubstadt 26-18-36-404-000.232-009 Pt Se 36-3-11 o ()P( 1255 Assessed vakre of real property as of Mortgage/Contract indebtedness unpaid as of I 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? 129,600.00 © Yes ❑ No If no,what is his I her exact share of interest? It owned with someone other than spouse,indicate with whom II name on record is different than that of applicant,indicate below: Is the property in question:Annually Assessed ©Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Heritage Federal Credit Union Address of mortgagee or contract seller(number and street city.state,and ZIP code) 5388 Old State Road 66, Newburgh, IN 47630 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? ID Yes No ❑ Yes ❑ No COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 20_ _ 20_ 20 Signature of County Auditor County I 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. Signatur 'owner's full nacre) Date(month,day.year) �,z' --, 03/ 9 /zo/y F resident address of ap cant(number and street city,state,and ZIP code) 118 S. Eileen Street, Haubstadt, IN 47639 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,sate.and ZIP code)