HomeMy WebLinkAboutMortgage_McFadden STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
ate?°a County I Township I Year
�: ,.1 FOR DEDUCTION FROM ASSESSED VALUATION eT pY �7�
ff State Form 43709(R12/6-14) Gibs 1 e Pa A I ➢ 2015
` � Prescribed by Department of Local Government Finance a ./
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INSTRUCTIONS: File Mark
To be filed in person or by mail. NOV I,r . r: with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property ie I ❑ County Auditor
located on or before January 5 of the immediately succeeding calendar year. Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the co
-where the property is located during the twelve(12)months before March 31 of each year the dedt@{$&Jt t 3O U • ' ff It • •
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Nicole L. McFadden
!Taxing ibson PRnaa 26.12-08.203-000.583-028 Record number Page number
Assessed value of real property as of Mortgage/Contract inaebtedness 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?
108,200.00 74,677.77 153,979.00 (71 Yes 11 No
I 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
❑ Real Property L7 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contact seller
Hallmark Home Mortgage, LLC
Address of mortgagee or contract seller(number and street.city,sate.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,sate.and ZIP code)
Does applicant own property in any If yes.what county? What Taxing District? Has this deduction peen requested If yes.stale_amount of seduction
other county , property for
in Indiana? Yes S No current year? ❑Yes S 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 recorder's office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 I 20 I 20 20 I 20
Signature of County Auditor I County I Date(month.day.year)
I/We certify under the penalty of perjury that the above and foregoing infdrmation 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.
jot ire(y vners tuff name) / Date(month.day,year)
,J / l —C J I 10/10/2014
Full resident address of applicant(number and street.city,sate.and ZIP code)
1804 Taylor Avenue, Princeton, IN 47670
I Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 I Date(month.day.year)
I 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 S10,000.