HomeMy WebLinkAboutMortgage_McGowan e �4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
s'�,• State Form 43709 Department �
; Prescribed by Department of Local Government Finance .�
INSTRUCTIONS: _ ; Fil a it
To be Red in person or by mail. Form filed with:
Filing Dates: 7) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. oo CC''
Must be filed or postmarked with the County Auditor or County Recorder of the county where the propetly.le 19296 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 County Auditor of the •• my
where the property is located during the twelve(12)months before March 31 of each year the deductio ': 'ought. I '
See reverse side for additional instructions and qualifications. I' ' 4Pmlb
3.'BCC(J COuN 1 Y AUDITOR
Applicant(owner a contract buyer-see restrictions on reverse side)
McGowan, Doyle Dean
Taxing District Key number/legal description Record number Page number
Mackey 26-20-14-301-000-053.002/Pt SW 14-3-9 1.6551A a (a - (33'1S
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of 1 Is the applicant the sole
March 1.current year March 1.current year date of application legal or equitpe owner?
43,300 0.00 45,657 es ❑ 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 rty in question:Annually Assessed
eat Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
1st Alliance Lending
Address of mortgagee or contract seller(number and street,city,state.and ZIP code)
111 Founders, Suite 1300, East Hartford, CT 06108
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 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 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.
SignrtatwIa(ow�}}�s ante) Date(month,day,year)
�y.,�'/�_^. (�/, trine) m 9-/5- / co
Full resN6ht address of applicant(number and street city state,and ZIP code)
r
0/ S—o 5, Div / 5 / ON Sr /CL M dr y 7th ti766U
Person authorized by 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$10,000.
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f STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year ,
;s FOR DEDUCTION FROM ASSESSED VALUATION ��vv
4°=' . State Presorted 3709 Department F 11. 4A'1
� Presalbed by DepaMlertt of Local Government Finance
o ar Lei
INSTRUCTIONS: 4kdh
To be filed in perm or by mail. SEP ) " LltlO
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 property is 0 County Auditor
located on or before January 5 of the immediately succeeding calendar year. r '.-i, ' -ecorder
�•—
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the cou .4, , „ y";
where the property is located during the twehre(12)months before March 31 of each year the deduct42118iSieNhtOUNTY AUDITOR
See reverse side additional instructions and lifioafions.
Applicant(owner con ct buyer- s:-- verse side)/l /yam^/ CS
f� I al /' / / l ( J(Jt,C2.- J
Taxing.' At)
- f inter descd Record numbs Page n ter
#' /-' i - a—/ . 0/- OQO. 053-0(1°.7 r7O/� 3 S�
value of -1..-rty as of Mortgage 1 Contract bNebtedness unpaid as of Mortgage l Contract tr�pebtedness unpaid as of Is the ap Kant the sole
assessment date,• u- year assessment date,current year date of application / / legal or equitable owner?
0 Yes 0 N
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(afferent than that of applicant,indicate below: LI�1Is
.,(tpe property in question:Annually Assessed
Iy�I Real Property ❑ Annually Assessed
• Mobile Home(IC 6-1.1-7)
Name of mortgagee or contact seller /IS 00)
)
Address of mortgagee or contact seller(number and street,�{cityy state.and ZIP code)
Name of assignee or other owner or holder of mortgage �n1 C,fin [ .� //�1 j Address of assignee(number and
�V` / �'�"^ �' '��� _ / /�
Does applicant own property in an ao I u this deduction been requested If yes,state amount of deduction
other county - Drawer NO G(V (.O
in Indiana? ❑Yes ❑NI urentyy ar?for ❑Yes ❑No
A person is not entitled to this r nortgage or contract indebtedness that is recorded in the county
recorder's office(including any
Card NC). ! trders office)that is the basis for the deduction.
Deduction approved in the amount or
20 20 20 20 20 20 20
Signature•s, • Auditor / County Date(month,day,year)
I/We certify under the pena- of perjury .t the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner t contract buyer of the aforementioned property on date application is filed.
ANS" re(ownetss full name) q Date(month,day,year) _ .
t'1` - A{2o,..s/% `—/�8�.-G-
Fug resident address of app5cent(number and street,city,state,and ZIP code)
7/S-0 5, Di viS/ O's sr mlKL&NJ d- 1.741 IN 4 7 6 60 -774
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 penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.
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