HomeMy WebLinkAboutMortgage_Treadway STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
•
_i �' FOR DEDUCTION FROM ASSESSED VALUATION I
Li: State Form 43709(R12/6-14)
+ Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS:
To be filed in person or by mail. Form filed 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 is ❑ County Auditor
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 sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Treadway, Thomas
Taring District Key number l legal description Record number Page number
Patoka 26-11-36-200-000.882-027/PT NE 36-2-11 .89A aQ;5 3538
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?
52,200.00 0.00 71,677.04e kYes ❑ No
If no,what is his/her exact share of interest? If owned with someone oth n IbO i to• is
If name on record is different than that of applicant,indicate below: 111II /pe pglpirtyli0 esbon:Annually Assessed
e operty ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contact seller ���u
egear
GVC Mortgage, Inc. / U�y AUDITOR
Address of mortgagee or contact seller(number and street,city,state,and ZIP code) GIBSON CO
One Plaza Dr., Suite 3, Pendleton, IN 46064
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
Does applicant awn property in any If yes,what county? I u..thic deduction been requested I If yes,state amount of deduction
in Indiana? n( j \_Q COL-Oral
otherc un ❑Yes No L]tL.
A person is not entitled to this deduction unless the perst u ass that is recorded in the county
recorder's office(including any home equity line of credit D I-�11tG I. N O p(O I ar the deduction.
Deduction approved in the amount of: 3 53 t;j
Card NO. ...t-...t.-...--.
20 20 20 _ - I 20
I I
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.
Signatur ow es fug name / Date(month,day,yeah
uF' l resident a rddess of appli t(number and street,d .ate,and ZIP code)
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 ZIP code)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.
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