HomeMy WebLinkAboutMortgage_Cardinal (2) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
>s °�°n County Township � Year
_.,t FOR DEDUCTION FROM ASSESSED VALUATION
" State Form 43709(R12/6-14)
•v;�,�1 Prescribed by Department of Local Government Finance F I L Fir)
INSTRUCTIONS:
To be tiled in person or by mail. — ' Fo?nhi Ied with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is soughtf,, rr11Lt� �!''I
Must be filed or postmarked with the County Auditor or County Recorder of the county where the prhtpewy tf 20170 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 t county
where the property is located during the twelve(12)months before March 31 of each year the dedu ' is so t.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side) C!D30N co UU TY AUDITOR
Matthew Joseph Cardinal and Daisha Nicole Cardinal
Taxing District Key number/legal description Record number Page number
Ft Branch Township 26-19-18-304-000.359-026 ,Q() 1_ /` 'i r} IC)
Assessed value of real property 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?
148265.00 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
Er Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Quicken Loans Inc
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
1050 Woodward Ave, Detroit, MI 48226-1906
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? ❑Yes WJ 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 •u ,. Auditor k J County Date(month,day,year)
I/We certify under the penalty of perjury that the a•"•v: It.f•re•oing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned prope on •a e -pplication is filed.
Signature(owner's full name) ,l� f
Full Date(month,day,year)
ul resident address licant(number and street,city,state,and Z e)
801 E. Vine Street, Fort Branch, IN 47648
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Data(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.