Loading...
HomeMy WebLinkAboutMortgage_Creek (4) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year FOR DEDUCTION FROM ASSESSED VALUATION I'� State Foes S37Og(R13110-15) Prescribed by Department of Local Government Finance INSTRUCTIONS: aL To be filed m person or by mail. Filing Dates: 1) Real Property Must be completed and dated in the calendar year for which the deduction is soug . 'b � Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is ❑ County Auditor , located on or before January 5 of the immediately succeeding calendar year. C E p 7 ,� 2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county. 0 1 L'-;; County Recorder where the properly is located during the twelve(12)months before March 31 of each year the deduction is sought. See reverse side for additional instructions and qualifications. . r • Appdcant(owner or contract biter,see restrictions on reverse side) ,-:L'-. 7,7q;c'r c b. Creek G!PS' ^- Ta . District Key number/legal desaipdon 6( /J C J.-'j.- . -/C) Record number . P ("1 number 'a � , a(0-la -d - OD-001 . SD3 - ©a-1 ao 1 - `►�`� Assessed oath of real property as of Mortgage I Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the a nt the sale assessment date,current yea assessment date,current year date of IIeppgcabon legal or�equitable owner? I lD I ,cee-00 ErYes ❑ No If ro,what Is his/her exact share of interest? If owned with sorneone'oder than spouse,indicate with whom l name on record is different than that of applicant,indicate below. - Is the property in question:Annually Assessed C3"Real Property ❑ Annually Assessed Name of MoM1e Home(IC 6-1.1-7) � mortgagee or contract sister 1419nr �kleXIN\✓\ Ltrv-ders, LLC Address of rnortgagee or contract seller(number and street city,state,and ZIP code) Name of assignee or other owner or(tuber of mortgage Address of assignee(number and street,city,state,end ZIP code) Does applicant own property ininanany l yes,what county? What Taxing District? Has this deduction been Indiana?erriare?y ❑Yes Unto on property requested If yes,state amount of deduction 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 recorders 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) 11 We certify under the penalty of perjury that the above and foregoing information is true and coned and that the applicant is a resident of Indiana and 1 owner/contract buyer of the aforementioned property on date application is filed. Signature(owners hit - Date pyonfh,day,year) diffp Full resident address of applicant(number and-street,city,state,and ZIP code) I ) La 2 3So S , Li1L-1O 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 hat years and a fine not to exceed S10,000.