HomeMy WebLinkAboutMortgage_Reed (7) ,.• * STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County I Township I Year
tit�__-_ ' FOR DEDUCTION FROM ASSESSED VALUATION
; State Fortn 43709(R12/6-14) Gibson Johnson
„,, Prescribed by Department of Local Government Finance -- -
INSTRUCTIONS: 1)e �:E .•II
To be filed in person or by mail. -f
Filing Dates: 1) Real Property Must be completed and dated in the calendar year for which the deduction is sought. III���III
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is I I 1 V C L ttitudilor
located on or before January 5 of the immediately succeeding calendar year. J U CounUry ecorder
2) Mobile/Manufactured Homes not assessed as Real Property Must tile 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.n,
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See reverse side for additional instructions and qualifications. c
Applicant(owner or contract buyer-see restrictions on reverse side) G I BSON COUNTY AUDITOR
Eric A. Reed and Heather A. Reed
Taring District Key number/legal description Record number Page number
Johnson 26-18-36-300-001.837-024 avklo- `),At d
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?
$95,500.00 a 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
0 Real Property ❑ Annually Assessed
Mobile Home(IC 6.1.1-7)
Name of mortgagee or contract seller
Heritage Federal Credit Union
Address of mortgagee or contract seder(number and street,city,state,and ZIP code)
5388 Old State Rd. 66 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 If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county ,--, 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 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 I 20 J I 20 I 20_ 20 20
Signature of County Auditor I 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 I contract buyer of the aforementioned property on date application is filed.
Signature ens MI name)- n Date(month,day.year)
/(JJ- /',�_ °_y
05/31/2016
Fiji resident address of applicant(number and sweet.city state,and ZIP code)
1205 W 1000 South Haubstadt, IN 47639
Person authorized by duly executed Power of Adomey 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 fete not to exceed 510,000.