HomeMy WebLinkAboutMortgage_Eck "o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNE County I Township Year
FOR DEDUCTION FROM ASSESSED VALUATION T
• State Form 43709(R12/6-14) 6 bso l hnson
\,,,-J Prescribed by Department of Local Government Finance ••i AAA I
INSTRUCTIONS: JU 11 c File Mark
To be filed in person or by mail. N 0 5 2017 Fomi filed 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 f the county w•: : the pr..erty 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(bales u�• r•ti i,11%!7/1'^I%:. ty
where the property is located during the twelve(12)months before March 31 of each yea t.•AtQby Ai u{ .
See reverse side for additional instructions and qualifications. "r r OR
Applicant(owner or contract buys--see restrictions on reverse side)
Michael J. Eck and Tricia Eck
Taxing District Key number/legal description Rec rd umber I Page number
Johnson 26-22-12-300-002.101-024 /'/o233S1
Assessed value of real paucity 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?
$114,000.00 p 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
10 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 seller(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 on property for
in Indiana? ❑ Ii 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 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 da to Application is filed.
Sigratur¢'p= 11 ryyne) / t /1 sick Date(month,day.year)
IYA1l'� —1'I(J' /19n= 05/27/2017
Full resident address of applicant(number and street,city,state,and Z code)
11578 S 150 W Haubstadt, IN 47639
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$10,000.
y .. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County{ Township Year
FOR DEDUCTION FROM ASSESSED VALUATION 1L
'-- State Farts 43709(R13/10-15)
Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be filed in person or by mad. AUG • 4. ,►'
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be Wed or postmarked with the County Auditor or County Recorder of the county wham the property is ■ •. , ..
located on or before January 5 of the immediately succeeding calendar year.
2) Mobile/Manufactured Homes not assessed as Real Property:Must Be with the County Auditor of the .• •' •:i L?7j, ,
where the pmpery yew-the located during the twelve(12)months belae March 31 of each ye -the dedudjq(gbgfeO • • • •
See reverse side for additional instructions and quaalificatioonnss.. �,/ry` Lei
Appr w eror ntradO prr-6, pt n rer `AL/.1 + /p�)
Taxing Dusmd (, V. • IC'atJ ^W U. l b I c 9 Record number Page number
Assessed value of real properly as of /Contract Indebtedness unpaid as of • Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
as net date,and year assessnent date,current year data.a � legal or equitable owner?
❑ yes D No
If ro,what is his I her exact sham of interest? If owned withsom one other than spouse,inthcate with whom
If name on record is different than that of applicant,indicate below. I h.the property In question:Annually Assessed
' Real Property ❑ Annually Assessed
R9obte Horne 1.1-7)
Name of mortgagee or contract seller
Addres of mortgagee or contract seller(number and stem a, \� _"> )J 3
Name of assignee or otherowrhar or holder of mortgage ' _
( \ \ c.��e J - k `�
Address of assignee(number and street ay,state,and ZIP
�applicant own property in any If yes,what county? `i- `f, Q-.\C` Imo. t t) sled e yes,state amount of dedudiwh
in Indiana? ❑Yes Duo - \�I _ 1 F- 1 ` iNo
A person is not entitled to this deduction unless the per 1A C'r \ ' �"q1 v\ 'redness that is recorded in the count—
recorder's office(ndudng any home equity fine of orec (� ✓ Isis for the deduction.
Deduction approved in the amount of
\ \4 b ° 3 .
20 20 20_ L- 5- 20 20
I
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/contract buyer of the aforementioned property on date application is filed.
Signature(rrµfa�furl name) l I, e_ / 1 /, /Date(north,day,year) Q
F earl`'\17[/v//res;<'p-I`rof'//V't applicant I`,2'/��A(�number and ) 5..lnO/,/te~`and LP code) (;L� T (N /
utortzed by duly executed Power of of Attorney or by IC 61.`1-112--0`.77 Date(month,day,year)
Address of authorized person (number and street dly 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.
TIS all