HomeMy WebLinkAboutMortgage_Stodghill d STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township 3 Year
ie_,. . FOR DEDUCTION FROM ASSESSED VALUATION
SI• �' State Form 43709(R11/6-09) Gibson Montgomery 2015
\ "/ Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be filed in person or by mail. Form filed with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year fp{pyjliop tt i1eli¢Qfiction is sought.
Must be filed with the County Auditor or County Recorder of the c t rlfef*t property is located ❑ County Auditor
on or before January 5 of the immediately succeeding calendar year. ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Mus a with t e C ditor of the
county where the property is located during the twelve(12)mont of each year the
deduction is sought- GIBSON COUNTY AUDITOR
See reverse side for additional instructions and qualifications. .
Applicant(owner or contract buyer-see restrictions on reverse side)
Robert S. Stodghill and Julia A. Stodghill ��
Taxing District '
�C��//�((//��)/JJ\11l//`"'III( �`SSJJ [[XX]]
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?
162,100.00 18,648.50 265,052.00 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
GI Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Hallmark Home Mortgage, LLC
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
7421 Coldwater Road, Fort Wayne, IN 46825
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?
❑ No Gibson GI Yes GI 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 o rjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner�YiY- t buyer of the penalty
•ropert on date application is filed.
• •. a,.. /_//� Date(monlh,tlay,year)
.,�!� /�j /���// 7/24/2014
reside address of applicant�er and street,city,state.and ZIP code)
3404 S.350 W.,Fort Bra-• IN 47648
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)
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