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HomeMy WebLinkAboutMortgage_Alstatt . . STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year ,, FOR DEDUCTION FROM ASSESSED VALUATION -‘. State Forth 43709(R11/6-0g) F I L ED '�; f Prescribed by Department of Local Government Finance INSTRUCTIONS: ff1� 1 1 pep . To be filed in person or by mail with the County Auditor or County Recorder of the county where the properly is locatQE C 171*" Ring Dates: 1) Real Property Must file during the year for which the deduction is sought i[-Jt County Auditor 2)Mobile/Manufactured Homes not assessed as Real Property.Must file during the twelve(12)mon before March 31 of each year the deduction is sought. 4 -•. Recorder See reverse side for additional instructions and qualifications. G I BSON COUNTY Al 1f11TQR Applicant or mnt'ad buyer-see on reverse side) P ante- 1461,District number/legal desolation Record number Page numtrs 0.Ce,�+-' �) .26-Oct- A5 -/0a - 000. o 7 -o .�d C O/ Y ct8Y-3 Assessed value of reel property as of Mortgage/Contract Indebtedness unpaid as of Mortgage I Contact indebtedness unpaid as of Is the applicant the sole Monk Lament year Mardi 1,current year date of application 73 6 ❑ Yes ❑ old / ! If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with wham If name on record is different than that of applicant,Indicate below- Is the property in question:Annually Assessed ❑Real Property ❑Annually •-- --n. -- — Name of mortgagee or contact seller �, w' l .-- r+/�7v jy ILL-Q "_A A Address of mortgagee or coated seller(number and I,mi sta' .&and ZIP code) (- to-i v.\ (— 1 Name of assignee or other owner or holder of mortgage aei / l✓f(\`'(/2\ ' u7 ' Add f assignee(number and street.dly,state,end ZIP cod e) IU 'v 1./ N WT N tJ a5-i-a , 7° LTC W•ga CI) Does applicant own property in any other If yes,what county? • What Taring District? ��//� W 7 (p wunrymlrldars? ❑ Yes ❑ No ti W 6 rrv �. . < COUNTY AUDITOR N 8 Deduction approved in the amount of • _/�/'� n f{1 Mgr G ita 3 CD 20 20 20 20 20_ (�` C j 2 Signe of County Aufktor ' County CI ;a. CD C g.� _• I/We certify under the penalty of perjury that the above and foregoing information is true and correct a c owner/contract buyer of the aforementioned property on date application is filed. k_Sig re vmees fig ne ))[p/-''��— resident/ t(number berand street,Ly,state,and ZIP code) r s / Olo S Morn PC ��I�c[� 11J t/ 7LFG/ — Person authorized by duly executed Porn of Attorney or by IC 6-1.1-12-0.7 I Address of authorized person (number and sheet,city,state,end LP code) . tint STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year a FOR DEDUCTION FROM ASSESSED VALUATION rta State Form 43709(R12/6-14) t �-� Prescribed by Department of Local Government Finance _ i ■ F INSTRUCTIONS: To be filed in person or by mail. Form rued with: Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. NOtLI-(� � Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is '�}66 uditor located on or before January 5 of the immediately succeeding calendar year. ❑ County Recorder 2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county where the property is located during the twelve(12)months before March 31 of each year the deduction is sough See reverse side for additional instructions and qualifications. GIBSON CD Applicant(owner or contract buyer-see restrictions on reverse side) LINTY AUDITOR Alstatt, Andrew J Taxing District Key number/legal description eco'Cyr ti Pa 1/1// 3White River 26-04-25-102-000-072-020 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,anent year March 1,current year date of application legal or equer? $ 73,469.00 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 roperty in question:Annually Assessed Real Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Mortgage Masters of Indiana, Inc. Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 7144 E Virginia Street, Suite A, Evansville, IN 47715 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 If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction other county , property for in Indiana? Yes ❑No current year? ❑Yes ❑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 recorded in the county recorder's office(including any home equity line of credit that is recorded in the county recorders office)that is the basis for the deduction. 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/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/contract buyer of the aforementioned property on date application is filed. ignature . ners fug name) Date(mirth,day,ye.4 Full resident address of app leant(number and street,city state,and ZIP code) 106 S Main St, Patoka, IN 47666 Person authorized by duly executed Power of Attomey 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) The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed 810,000.