HomeMy WebLinkAboutMortgage_Taylor (9) Y o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
°e FOR DEDUCTION FROM ASSESSED VALUATION gq�Y�
State Form 43709(R11/6-09) �l
Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS:
To be(led in person'or by mail.
M II. III-: n.
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be filed with the County Auditor or County Recorder of the county where the property is located ❑ County Auditor
on or before January 5 of the immediately succeeding calendar year. ,! , .�!�t-2{ny Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor gf the -� fV'
county where the property is located during the twelve(12)months before March 31 of each yeSil$SON • 1 ' ' , 1 1 •
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
■
Joshua R. Taylor
Taxing District Key number/legal description Reacrd number b Pa'enumber
Patoka 26-12-17-101-000.712-028 G
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 Mardi 1,current year date of application legal or equitable owner?
$65,475.00 GI 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
lig Real Property ❑AnnuafyAssessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Heritage Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
5388 Old State Route 66 PO Box 189, Newburgh, IN 47630
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 any other If yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
❑ yes 0 No ❑ yes al No
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 s t ) tee Date(rr�r(th,d )i
Full re ' nt address of applicant(number and street, :. Re,and ZIP (mil
S.Washington Street,Princeton, I S
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,state,and ZIP code)