HomeMy WebLinkAboutMortgage_Donnell (2) vr� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count j Township I Year
. FOR DEDUCTION FROM ASSESSED VALUATION i lea�Ie ep pyg��'
State Form 43709(R17/6-09)
Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: _
To be filed in person or by mail. A • " -r 'i r -
Filing Oates: 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 located
on or before January 5 of the immediately succeeding calendar year. I, , -_.! -ecorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor. g(gi - '� �r
county where the property is located during the twelve(12)months before March 31 of each ye rM&ON •to ` - AUDIT OR
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
PATRICK J.DONNELL
Taxing District Key number/legal description Record num r Page number
PRINCETON 26-12-08-203-003.163-028/LOT 37 DIKE ENLARGEMENT aoIi 15']p er
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?
113,000 86,896 0 Yes ❑ No
If no.what is his/her exact share of interest? If owned with someone other Nan spouse,indicate with whom
If name on record is different than that of applicant.indicate below: Is the property in question:Annually Assessed
0 Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of morigagee�q_contract seller • p
Firs for nt1.�-�G tr�drtraAL ode)
Atl ress o1 mortgagee or ntract seller(number and street.city, ate,a ZIP code)
10323 0,w� Graz gaud ��4c /6 /4- (r4- tAviek-1 Al SOBS
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 WIlego ❑ Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of CountyAuditor 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 of ntioned property on date application is filed.
nature:: �± Date(month.day, 10/2 year)
4/10Y2014
Full resident address of applicant(numb and street,city,state.and ZIP code)
606 KENNEDY DR 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) •