HomeMy WebLinkAboutMortgage_Stocker •
•
' e ^',p, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County I Township I Year
FOR DEDUCTION FROM ASSESSED VALUATION
a
�j State Form 43709(R12/6-14) Gib FILE Col 2016
Prescribed by Department of Local Government Finance
INSTRUCTIONS: Rile
llMark
To be filed in person or by mail. FEB g 4or 0 wnh.
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 is • (D County Auditor
located on or before January 5 of the immediately succeeding calendar year. Ar • di-�:.r n Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the c• Ws;, —Ar il;
where the property is located during the twelve(12)months before March 31 of each year the dedtl�1tppQp tell ""
See reverse side for additional instructiauand qua lifications. tiIHS* ' SUNTYAUDITOR
Applicant(owner cr contract buyer-sea restrictions on reverse side)
John P. Stocker
Taxing District Key number/legal description Record number Page number
Gibson 26-14-07-300-000.846-006 '401 S-SaS
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?
53,000.00 0.00 58,913.00 p 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
Q 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 sweet.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 GI No current year? ❑Yes IS 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 fine 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 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 1 contract buyer of the aforementioned property on date application is filed.
atu ( ens ame) Date(month,day,year)
- , S 2/2/2015
F resid t address of applicant(number and street,city,state,and ZIP code)
South 1150 East, Oakland City, IN 47660
Person authorized by duly executed Power of Adomey 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 S10,000.