HomeMy WebLinkAboutMortgage_Hatfield 0.r. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County fin tp 4�r�
FOR DEDUCTION FROM ASSESSED VALUATIONLp p
Stale Form I310g(R1218-i4)
Prescribed by Department of Local Government Finance
INSTRUCTIONS: Fik�p�rko 1 2014
To be Ned in person or by mad. Fern Ned win
Filing Dates: 1) Real Property.Must be completed and dated In the calendar year for which the deduction Is sought
Must be led or postmarked with the County Auditor or County Recorder of the county where the property is /l/❑•
located on orbetore January 5 of the immediately succeeding calendar year. Neu
2) Mobile IManufactured Homes not assessed as Real Properly Must the with the County Awiforof the COUNTY AUDIT041
where the property is located during the twelve(12)months before Afarrh 31 of each year the deduction is C
See reverse side for edNtione!instructions and qualibcaSSns.
Applicant(owner or coned Doper•sea rearictians on reverse Ode)
Sean W.Hatfield Kylee M.Wood
T Diton 1cey re,n2-1181011-00 m. er�p P. �/1 ,
r♦�inceton Township 2fr12-18-101-002.513-028 /`V/' � I/
MA�sed value areal property as d Mortgage i debtedness oryald a a Mortgage II Coodrraatt indebtedness unpaid as of I�a sW
g6$Sg 3�" =ado 73469.00 i1 Yes ❑ No
II no.what IIssU U//hurt exact than of adertnt7 d owned with sermons other Irian spew.Indicate Mat when tis
It name on recut Is aterert that Mat Cl applicant indicate below. is Le property In Wiesen Annual/Assessed
❑Real Property ❑ Annually Assessed
1.ter)
p1'1i e'Friienaanclaa,,inc and or their warehouse lender
Address of mortgagee or attract seller(camber and street,dty,state,and ZIP code)
123 E.Grand River Ave,Williamston, MI 48895
Name at assynee or other owner a Miter of mortgage
Actress at assignee(number and street dry,state,and ZlPade)
Does applicant own property in any It yes.what caatty? what Taxing District? Has this deduction been requested if yea,state amount at deduction
other county ❑ e
in twi Yes J,NO and y� ❑Yes 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is receded In the county
recorder's office(inducting any home 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 at
20 20 20 20 20_ 20 20
•
Signwae of Cony Auditor Ceuay Date(=net day,yea)
1 I we certify under the penny of perjury that the above and foregoing information is True and coned and that the applicant is a resident of Indiana and
owner I contract buyer of the aforementioned property on date application is fled.
s n Date(mpmh,day,yea
rid at applioni(number and street,sly state,and ZlPaade)
818 S First Street. Princeton IN 47670
Person audited by lay evaaded Power of Attorney or by IC e-1.1-12-0.7 Data(ednm,day.year)
Address of authorized penal (number and street,city,state,and ZIP code)
The penalties for perjury can include imprisonment up to two and a half years and a tine not to exceed 570,000.