HomeMy WebLinkAboutMortgage_McCandless STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
` " FOR DEDUCTION FROM ASSESSED VALUATION
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'� State Form 43709(R12/6-14)
•�--LtY Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be filed in person or by mail. Form fled with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the dedu fygr)'s$o hh��•y
Must be filed or postmarked with the County Auditor or County Recorder of the countViNtbr4U p wj 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 Cou Auditor of the county
where the property is located during the twelve(12)months before March 31 of each e e r ht.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side) GIBBON COON I Y AUDITOR
McCandless, David D. & Robyn R.
Taxing District Key number/legal description Re numb Pagppymbe4
Owensville 26-18-07-100-000.547-022/PT NW 7-3-11 .34A I(/S�
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?
100,300 0.00 142,005 erics 0 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: NIpxolierty in question:Annually Assessed
Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
GVC Mortgage, Inc.
Address of mortgagee or contract seller(number and street,city,state.and ZIP code)
One Plaza Dr., Suite 3, Pendleton, IN 46064
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street.dry,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing Distncl? Has this deduction been requested If yes.state amount of deduction
other county ,--, property for
in Indiana? Yes Perko current year? ❑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
Signature of County Auditor County Date(month,day,year)
/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/cont - • _rf the aforementi•ned pro. yon date application is filed.
•y:..: 7/ / Date(month,da.year)
u reside -. - s of applicant umber and street city state.and ZIP s
^IP cod
l
•Person authorized Ty duly executed Power of Attomey 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 S10,000.
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