HomeMy WebLinkAboutMortgage_Teeters Fit _
4.1"j:k STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township a��/
(ill l FOR DEDUCTION FROM ASSESSED VALUATION Nov — -
., 444 ) sum Form 43709(RI216-14) 0 0/4
'; Presrilbed by Department of Local Garerrment Finance Q
INSTRUCTIONS: a Mark
TO be Ned in person or by mail. G/8 ,r • "•w�l,
Flog Dales: 1) Real Properly:Must be completed and dated In the calendar year for which the deduction is sought. SON else/
Must be Med or postmarked with the County Auditor or County Recorder ofthe county where the property Is Cl 71 f• ditor
located on or betonJ anuary 5 of the Immediately succeeding calendar year. • s44 nay
2) Mobile/Manufactured Homes not assessed as Reel propeny Must fib with the County Auditor of Me county "�-v"II II oar
where the property is located during the Mahe(12)months before March 31 of each year the deduction Is sought
See reverse side for adddbnsl Instructions and quaflicatbns.
Apspcent(aware:ercavnn buyer-see rasideaau on reverse atria)
Teeters, Michael David and Joye Elaine
Taidng Dbldd Key number/legal detuttWn Rend number Page number
Patoka 26-05-34-200-004.522-027 4 59
Assessed waive of red pryeny u 0f Mortgage/Contract indebtedness unpaid as of Mortgage I Convect indebtedness unpaid as of Is the optic side
March I,current year March 1,current year Bete of appeutan legal or a owner?
_$ 125,000.00 Yes 13 No
It no,what la his/her exact shore of Wertz'? II owned with someone other than spouse,IMleata with Morn
If name on:mod la different than that of applicant,Indicate bebtr. Is property In plmetost Annually Assessed
Reel Properly 0 Annually Assessed
_ hbtlbe Noma(IC 8-1.1-7)
Named morlgeget or=and solar
Quicken Loans, Inc.
Mahn of mortgagee or contract seller(number end sno.any ebb,and ZIP code)
1050 Woodward Ave., Detroit, MI 48226
Nana of usgnee of aver owner a holder of mortgage
Address d assignee(number end street dry,elle,and 2/P code)
Data apalcanl own property in any II yea,what ou g7 I What Taxing DiW:d7 His Ns deducton been requested If yes,slam emovnl of dedudbn
other In aYartpauly° DYes DNo urer year? ❑Yes DNo
A person(a not entitled to this deduction unless the person has a balance on the person's mortgage or ccntreCt Indebtedness that Is recorded is the county
recorder's office(including any home equity line of credit that Is recorded In The county recorder's office)that Is the basis tor Me deduction
COUNTY AUDITOR
Deduction approved In the amount of:
20 I 20 I 20 I- 20 I 20 I_20 I 20
Signature of County Audler I County Date Incra,SAY.Peen
I I We ceniy slider the penally of penury that the above and foregoing Information is true and correct and that the applicant Is a ros!dent of Indiana and
owner I contract buyer of the aforementioned property en date application Is C)ed.
5 eua r� ya.0 N'.name) [ Oab nCrvt)•JS 'ryr
v/ ,//j/ _ '—el/ .. •.0 IR`f r_/7/t.
m ll>16iten!'t/adn t;of —7t(number and street Cry,sbfe,an;ZIP coda)
2169 N 350 E, Princeton, IN 47670
Pawn auteruro by duly a.ecaea?over of Attract or Pi IC t-1.1-t2-C,7 I
Dnm(month day,yvan --_
Address dedlh¢'I[edpetiu. (ru•:M•aM street,dlY.thb.ears ZIP rove;
The penalties for perjury can include imprisonment up to um end a hel/years end a One not to exceed 310,000.