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HomeMy WebLinkAboutMortgage_McCandless (4) es 4,F o\ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township I Year t FOR DEDUCTION FROM ASSESSED VALUATION [/ State Form 43709(R12/6-14) pL Prescribed by Department of Local Government Finance INSTRUCTIONS: Pi -, ark To be filed in person or by mail. �o •W Pl s 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 l 111 County A ditor located on or before January 5 of the immediately succeeding calendar year. / .J,11 jr,T,���ecorder 2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the RR fn1 where the property is located during the twelve(12)months before March 31 of each year the deduction is ss Tit N - - - - • G • - See reverse side for additional instructions and qualifications. Applicant(owner or conaact buyer-see restrictions on reverse side) McCandless, William J. & Kelly R. Taxing District Key number/legal description Record number Page number Cocumbia 26-14-07-300-001.304-006/Pt SE SW 7-2-8 2.19A a0lL rj0 a' Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole Math 1,current year March 1.current year date of application legal or equita er? 1,052,000.00 60,000 181,818 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 p peerty in question:Annually Assessed eal Property ❑ Annually Acsrssed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Guaranty Trust Company Address of mortgagee or contract seller(number and street,city,state.and ZIP code) 316 Robert Rose Dr., Murfreesboro, TN 37129 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 an 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 o current year? ❑Yes 111 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 1 contract buyer of the aforementioned property on date application is filed. Si nature •ers 401name) Date(m rh, ay,year) l//l/� r- MP7/(6 Full resident address of applicant(number and street,city,state,and ZIP code) 217 e &roactua y s f 1"r,nct for I N /7670 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) The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed 510,000. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS FOR DEDUCTION FROM ASSESSED VALUATION C°unt� 1pf Township Year .�-.= State Form 43709(R13/1413) f e p--�' Prescribed by Department of Local Government Finance A L ft INSTRUCTIONS: F le Mark DEC t. To be hied in person or by mad. � �'?.•• ;t.vim: Ring Dates 1) Real Property.:Must be completed and dated in the calendar year for which the deduction is sought. Most be filed or postmarked with the County Auditor or County Recorder of the county where the properly E . ,❑ , • •• , ditor located on or before January 5 of the immediately succeeding calendar year. 1• • —•,inf/j j; 2) Mobile/Manufactured Homes not assessed as Real Property.Must file with the Courtly Auditor ® 0 u q a e fdY Recorder where the property is located during the twelve(12)months before March 31 of each year the deduction is sought See side for additional instructions and q - i tions. MfrGn (oxmr/ buyer restrictions- ..:) I �l.:i��d-dieRee- 0 T Drs / (afro Key / >.. Record Page number a� c at j _o"—�ao - as/ Jo-act moo " ,odos Assessed venue of rasa prceerly as of Mortgage/Contract indebtedness unpaid as of • Mortgage t Contract indebtedness unpaid as of Is the applrud the sole assessment dn.,current year assessment date,amend year date of legal or equitable owner? fe6/ ❑ Yes ❑ NO If no,what is his I her exact share of interest? If owned with someone other than spouse,indicate with whom If name on record is deferent than that of applicant,Indicate below Is property in question:AnnuallyAssessed Real Property ❑ Annually Assessed // Mottle Horne(lC 6-1.1-7) Nam d mortgagee or contract seller 6 ^ ,��� ^o Address of mortgagee or contract seller( sheet c a l:stale,a n d(P•`:) Name of assignee or other owner or holder of mortgage ' Address of assignee(nu it street, rstate,and ZIP code) �J P.cS) `7—Ed— b' 07. /9.9e-, Does applicant own..... If yes,what county? . What Taxing District? Has lids deduction been requested If yes,slate amount of deduction on Indiana? ❑Yes No aameennt� ❑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 This of credit that is recorded in the county recorder's office)that is the basis for the deduction. COUNTY AUDITOR " - Deduction approved in the d�f& _ 5o S /�// 7 d. 20 Drawer NO — 20 20_ 20 Signature of County Audits county - 'Date(month,day,year) - -Card NO. I/We certify under t Y led- aton is true and correct and that the applicant is a resident of Indiana and owner/contract buy • 7 /� l LB/ /4 fled. 5 own nameh Date(month day,year) _ ink CC all _ :;:i l�i`1 �'of ��� leant- (number 1' STi a� l e�T.c 4� Person authorized by duly executed Power of Attorney or by IC 6-1.1-12417 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.