HomeMy WebLinkAboutMortgage_Yang /a � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
,e . FOR DEDUCTION FROM ASSESSED VALUATION
\ .� State Form 43709(R11/6-09) I i
\,a�.� Prescribed by Department of Local Government Finance —��
File •.rk .
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. SE' 1 02 Qq'YY unty Auditor
Must be filed with the County Auditor or County Recorder of the county where the property is 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 /, , �� eI
deduction is sought. GIBSON COUNTY AUDITOR
See reverse side for additional instructions and qualifications.
Applicant(owner or contractbuyer-see restrictions on reverse side)
Gepao & Phoua Yang
Taxing District Key number/legal description Record number Page number
Union 26-18-25-100-002.025-025 t OI. S— 2-1 -15
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?
$177,325 El Yes ❑ No
If no,what is Ns/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
13 Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Hallmark Home Mortgage, LLC. •
Address of mortgagee or contract seller(number and street,city,state,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,slate,and ZIP code)
Does applicant own property in any other If yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
❑ Yes GI No ❑ Yes 12 No
COUNTY AUDITOR
Deduction approved in the amount of: •
20 20 20 20 20 20 20
Signature o ,minty Auditor dito` e \ 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 otIndiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signatur (owner's rue name) Date(m ntt`h,day,year)
Full resides address of�pplicant( mber and street,city.state.and ZIP code) 1 1
8867 South 100 W, Fort Branch,IN 47648
Person authorized by duty 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,slate.and ZIP code)