HomeMy WebLinkAboutMortgage_Schwartz M "� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
e ` FOR DEDUCTION FROM ASSESSED VALUATION
S-• �' State Form 43709 Department/6-09) �T Gibson Haubstadt 2015
Aepsd
' Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS:
To be filed in person or by mail. tq1 �(r�� Form fled vnth:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year foMAYch%hW de'1U&tion is sought. Q 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. ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must IQt I/,'j ..-4 .1 4.� Auditor of the
county where the property is located during the twelve(12)months • - •-Jar A u Vvae
t liXr the
deduction is sought. GIBSON COU �t�I 1[
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Douglas A. Schwartz and Angela M. Schwartz
Taxing District Key number/legal description /� � p Record number Page number
Haubstadt air f" 3F y(,,N- .gs6-Qoq I/ I
Y' 2,O c)
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?
7,400 Lb5: 2LX) 0 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
Huntington Bank
Address of mortgagee or contract seller(number and street,city,slate,and ZIP code)
7575 Huntington Park Dr. Columbus, OH 43235
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,stale,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 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 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.
iggature(owner's tt,na e) �� ^ - Date(month,day,year)
'tl\ � \��,rr�plil- 5/14/2014
Full resid t ddress of applicant(n er and street,city,sta ,and ZIP code)
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)