HomeMy WebLinkAboutMortgage_Napier (2) , e j ; STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
i' ,' State Form 43709(R1216-14) F 1 -
�_ ) Prescribed by Department of Local Government Finance aA J (
INSTRUCTIONS: 1 File
Mn�ta}C{rk
To be filed in person or by mail. JUL 1 8 aortBrile]with:
' Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the prope is El County Auditor
located on or before January 5 of the immediately succeeding calendar year. I ' n11 & County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Audit,Q-/�Qj�tth_�e ..'i
where the property is located during the twelve(72)months before March 31 of each year the dat)LLWJN an NT i AUCITurt
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Napier, Matthew L.
Taxing District Key number l legal description Record number Page number
Princeton 26-12-07-304-002.302-028/Smith ADD 11 Pt I lo- a$lo5
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appf the sole
March 1,cement year March 1.current year date of application legal or ble owner?
83,100 1,000 68,720 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 th roperty in question:Annually Assessed
Real Property ❑ Annually Accessed
. Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Masters of Indiana, Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
501 N Cross Pointe Blvd., Evasnville, IN 47715
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 ny 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 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 I contract buyer of the aforementioned property on date application is filed.
Si ture ner's tun name) Dat monthh day,year) -
Full/esiden2ddreesssooff applicant(numb ncrstreet,city,state,and ZIP code) �.
6 7,49 / ia-rioxt Pt .�il �' 'evC /c ilei ot-i k/
Person authorized by duty executed Power of Attome9or by IC 64.1.12-0.7 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$10,000.