The URL can be used to link to this page

Home My WebLink AboutMortgage_McGill / 3".4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year GL-_. FOR DEDUCTION FROM ASSESSED VALUATION State Forrn 43709(R12/6-14) pg �4 Prescribed by Department of Local Government Finance J' I 9 ill• . INSTRUCTIONS: To be filed in person or by mail. orm filed with: Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is soughtU L 1'U LU Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is ❑ County Auditor located on or before January 5 of the immediately succeeding calendar year. ! •unty Recorder 2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor o 11.,:../r•-7gr1r1ip, where the property is located during the twelve(12)months before March 31 of each year ttgj psis,�•I''''' See reverse side for additional instructions and qualifications. AUDITOR Applicant(owner or contract buyer-see restrictions on reverse side) Michael A. McGill and Jami M. McGill Taxing District Key number/legal description Record number Page number Princeton 26-12-06-401-002.197-028 - 015— as as Assessed value of real property as of Mortgage I 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 applicattad legal or equitable owner? 189600.00 rq1../ 2 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 ❑ Real Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Fifth Third Mortgage Company Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 5001 Kingsley Drive, MD: 1MOCBQ, Cincinnati OH 45227 Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,slate,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 ,--/ on property for in Indiana? ❑Yes Lilt 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 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/contract buyer of the aforementioned property on date application is filed. Signature(owner' f ap '/Ai�®.// // Date(na 1/4/1 ear) Full resident address of a number and trees,city,state,and Z ode) 1603 Cottonwood Drive, Princeton, IN 4 670 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 S10,000. may. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Townshi Year .-1�)'iii FOR DEDUCTION FROM ASSESSED VALUATION 4 �� 1?-1--.7.:='-_--.1)'1 State Form 43709(R12/6-14) - '' ;1f ! Prescribed by Department of Local Government Finance INSTRUCTIONS: T O Fil 11 To be filed in person or by mail. OCT 2 orm sled 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 prope • s 14 -. my Auditor located on or before January 5 of the immediately succeeding calendar year. Ir.; •:%rnfr! Cou�y.Recorder 2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the in a N A pl l Urs where the property is located during the twelve(12)months before March 31 of each year the de®.l6&Q . See reverse side for additional instructions and qualifications. Applicant(ore/or contract buyer-see restrictions on arse side) — �l„.a..c.Q� Q.°I Q - _7)t2, %f gt, Taxin jr'— Key number/I gal description Record number Page number /u u�,--) ? &- /A -o6 - yo/ - 0 °A• / 97 -o18 ?CIS ;_8 AS-- Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contact indebtedness unpaid as of Is the applicant the sole March 1,anent year March 1,current year date of application legal or equitable owner? . 88� 1 S2) ❑ Yes ID No If no,what is his/her exact share of interest? If owned with someone oth€r than spouse,indicate with whom If name on record is different than that of applicant,indicate below: Is the property in question:Annually Accessed ❑ Real Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller 5/3 Address of mortgagee or contract seller(number a nd street,city,state,and ZIP code) Name of assignee or other owner or holder of mortgage dD iS- — a 7 &-5 Drawer NO Address of assignee(number and street,city ststate,.aan d ZIP code) %1441-01 3 41 Does applicant own property in any If yes,what county? !'�What Taxing District? 1,a rd NO lotion other county in Indiana? ❑Yes ❑No A person is not entitled to this deduction unless the person has a balance on the person_.__. •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 20 20 20 20 Signature of CountyAuditor C County Date(month,day,year) I/I/W�under the penalty 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 aforemention d property on date application is filed. �Signate!Am s furI Aflame"271") l� Date(month.day,3'aar) , _Full resi ent address of applicant(number and Street,ci state,and ZIP code) IT/ I6rJ 3 G' Tarr;.tea ,D,Q YIl�N�ToN 7,Q g717 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 Z/P code) The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.