HomeMy WebLinkAboutMortgage_Ireland .r STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNE';- [l y ;M�:Zyhshi• Year
FOR DEDUCTION FROM ASSESSED VALUATION • ?�'
Stale Faro 1370a(R1216-14) ,1�
i P sa bed by Department d Local Government Finance AUG 0 1 2O 1 y le Mark•INSTRUCTIONS:
To be filed in person or by mad ^ Fan sea was
Filing Dates: 11 Real Property.Must be postmarked with and dated In the calendar year for eroh the deduction County Auditor
Must be aged or postmarked with the County Auditor or County Recorder of the county C❑�77
located on or before January 5otthe immediately succeeding calendar year. @jar, &A UDITOR County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property Must Be with the��17
where the property is located during the twelve(12)months before Mardi 31 of each year the deduction is sought
See reverse side for additional instructions and qualifications.
APPETWAX;rne I e a and Shadooee Kree Irel d)
Barton Township 16-20-13-100d
6-0-r3- - 771-001 P 1 L'/
Assessed vales d real prepay as d Mortgage I Catania iteaedxss unpaid as d Mortgage l Corns indebtedness to the
M:rctt 1j 0 .00 Marrlr/ current year 0i1e of 40000.00 (j Yes ❑ No
II no.what Is cis l her exact slue of keenest? a owed wnh someone other awl spouse,imitate wis+wnan
it name on retard is deferent Mat apt of epp wt Indicate dawn b rite property In quesCon:Annually Assessed
Cr Rest Property ❑ AnnuaalyAre(IC 7)
Name of mortgagee or contract seder
Lynnville National Bank
AOaess rnangseorrDntactq(nandl rndsbeef x115 stele.and LPw:1e) .
114 W.Lincoln Avenue,l:hun era IN 4Y61
Name of assignee or other owner or idler of mortgage
•
Address of assignee(number and street,try,stag.and ZP code)
Dees appacsn own prweM al any If yes,wool city? Mat Taxing District? Has at deduction been requested if yea,state smash of deduoon
m prlPelly for
mnIndiana? ❑Yes OM amen year? I-1
In 0 N
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is recorded in the county
recorder's office(including any tome equity line of credit that is recorded in the county recorder's office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved In the amount aft
20 20 20 20 20 20__ 20
Denature of Candy Auditor Casty Dale lonmut.daY./earl
I I We certify under the penalty of perjury that the above and foregoing information is true and caned and that the appfuam is a resident of Indiana and
owner I contract buyer of Inc aforementioned pro date application is 1J?/(
Yratae(omen and name) i /// Dre(_mamnci !to T
F / } t.toc`laatn iy,�l6i 'aandZIPwdel
Peer�sonCauthorized by dray executed Power d Aaomey or by IC 6-1.1-12.0.7 Date tndndl.daY.tad
Address of sthaimd person (number and sheet City sire.and ZIP coda)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.