HomeMy WebLinkAboutMortgage_Crawford (3) e .7:4, STATEMENT OF MORTGAGE OR CONTRACT INDEBT 11 Township f Year
lA FOR DEDUCTION FROM ASSESSED VALUATION 1
\,��� State Form 43709(R12/6-14)
\.rte Prescribed by Department of Local Government Finance
INSTRUCTIONS: SEP 2 2015 File Mark
To be filed in person or by mail. Form Ned with:
Filing Dates: I) Real Property:Must be completed and dated in the calendar year for which the deduc ion is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the coon here 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 cur,(rgBS Nt)Q!'/p-WthilWi T)OR
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 contact buyer-see restrictions on reverse side)
Crawford, Ashley L.
Taxing District Keyn- - -1 description Record Page
26-12-17-101-001.082-028/Kunkel Add II /761 jS d qfi
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appli t the sole
March 1,current year March 1,current year date of application legal or eq .table owner?
86,500.00 70,207.00 78,551.00 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 dferent than that of applicant indicate below: Is property in question:Annually Assessed
Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contact seller
American Financial Resources Inc., ISAOA/ATIMA and The Secretary of HUD
Address of mortgagee or contract seller(number and street,city state,and ZIP code)
PO BOX 202049, Florence, SC 29502
Name of assignee or other owner or holder of mortgage r--
Address of assignee(number and street,city state.and ZIP ca
kh IC� C _ nO rd Does applicant own property in y If yes,what county? 1((y'�`j''(--,(/jL/r/ If yes,state amount of deduction
other county mect�l
in Indiana? ❑Yes No ^�,/
A person is not entitled to this deduction unless the pers ,/� ( Il l �ss that is recorded in the county
recorder's office(including any home equity line of credi if C-, 551 iJ Csor cc r the deduction.
Deduction approved in the amount of: (� I"1 J l5—�
20 20 20 20 20 20 20
Signature of County Auditor County Data(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.
Signatureaji lu0nom „ 1 Date(month,�aear)��
Full resident add of appr nt(number and street.dry.sta• dZIP
4,0 S bolas ,/on c9., /hce i /N 471o70
Person authorized by duly executed PowerorAtomey or by IC 6-1.1-12-0_7 r 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 510,000.