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HomeMy WebLinkAboutMortgage_Bruce (8) >. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year FOR DEDUCTION FROM ASSESSED VALUATION State Form 43709(R13/10-15) Prescribed by Department of Local Government Finance CO �p.. Tbbe filed in NS: or by mail. Filing Dates: 1) Real Property Must be completed and dated in the calendar year for which the deduction is sought Must be tiled or postmarked with the County Auditor or County Recorder of the county where the property is "all'❑ County Auditor located on or before January 5 of the immediately succeeding calendar year. F E 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 Mardi 31 of each year the deduction is sought See reverrle side for additional instructions and qualifications. - J/ //��/ e ,, Applicant,Mru buyer-5�2striclion5 on reverse r 1 /N'�'-�.1 /�I} \/) GIRSON COUNTY AUDITOR Tatung 6 ict 1 number r Record number Page number C9 -o -Y oqq — DD3, Q98-©18- 1 c 114'1. Assessed value of mat property as of Mortgage/Contact thdebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole asses • erd date,current year assessment date,anent year • date ofa'pp)fi��4on�.y�J� legal or equitable owner? /C 7.0-t V ❑ Yes ❑ No If no,what is his I her exact share of interest? If owned with someone other than cfvuwa,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 Hare(IC 6-1.1-7) Name of mortgagee or contract seller �,%�y j� I rtcr Address of mortgagee or contract seder(number and street city,state,and ZIP code) CC 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? What Taxing District? Has this deduction been requested If yes,state amount of deduction other county on n Indiwa? ❑Yes ❑No current ? ❑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 Sign??of County Auditor County Date(month,day,year) _W //W itifJ udder 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 I co�ract buyer of the aforementioned property on date application is fled. re(owners full name) Date(mon day,year . a - lLI-1Y " address 6 5 �/l /(number 5 lik) • 3 Ll 7664, Person authorized by duly executed Power of Attorney or by IC 6-1A-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. — i�. ..'°,;no STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Mirt,',/alinVl r ip Year FOR DEDUCTION FROM ASSESSED VALUATION \� State Form 43709(R12/6-14) )• Prescribed by Department of Local Government Finance ' _ , File Mark INSTRUCTIONS: To be filed in person or by mail. • orm filed with: Filing Dates: 1) Real Properly:Must be completed and dated in the calendar year for which the deduction is soug) 1PM Must be filed or postmarked with the County Auditor or County Recorder of the county wherREMOVOCONTY A (j QF3unty 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) JEFFREY A. BRUCE AND CHRISTIAN TAYLOR BRUCE Taxing District cLOt (o \�4� Assessed value of real property as of Mongage/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? 1CA3 (2/ �� 09 ❑ 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 VANDERBILT MORTGAGE AND FINANCE Address of mortgagee or contract seller(number and street,city.state.and ZIP code) .5oa ace.ttL irye •rna ZviU i tJ 37 Name of assignee or other owner or holder of mortgage Address of assignee(number and street city,state,and ZIP code) Does applicant own property in a y 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 No current year? ❑Yes ❑No A person is not entitled to this deduction unless the person has a balance on the persons 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 o •i o j A •itor County I Date(month,day. ear) I I We certify under the penalty of perjury that the above a • 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's full name) Date(month,day,year) �//` A � x q,a p 03/09/2016 Full re nt address of applicant(number and street,city,state,and ZIP code) 4365 N 15 W PATOKA IN 47666 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 oer satriury cacjnclude imprisonment up to two and a half years and a fine not to exceed$10,000.