HomeMy WebLinkAboutMortgage_Bruce (3) `Y"o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
° FOR DEDUCTION FROM ASSESSED VALUATION
' State Form 43709(R11/6-09)
Prescribed by Department of Local Government Finance F ggp
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File
INSTRUCTIONS:
To be filed in person or by mail. FOf tAlfd ft 2014
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be filed with the County Auditor or County Recorder of the county where the property is located County Auditor
on or before January 5 of the immediately succeeding calendar year. (� • a. R-corder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the n V MI .
county where the property is located during the twelve(12)months before March 31 of each year the G I B SO N COUNTY AUD ITO R
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Kristi D. Bruce
Taxing District Key number/legal description Record number Page number
OAKLAND CITY 26-14-18-201-000.825-007 L 26 AND 10FT OFF N S L 27 HARDEN AD2 I N—
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 year March 1,current year date of application legal or equitable owner?
66100 71000 75510 fl 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
0 Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
STEARNS LENDING, INC
Address of mortgagee or contract seller(number and street,city,sate,and ZIP code)
4 HUTTON CENTRE DR, 10TH FLOOR,SANTA ANA CA 92707
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 It yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current yea
Yes 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 l 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 l contract buyer of the aforementioned property on date application is filed.
Signature(owner's full name) Date(month,day,year) 1
Fu0 res• ent address of applicant(number and street,city,state.and ZIP code)
914 N.Polk Drive,Oakland City, IN,47660
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)