HomeMy WebLinkAboutMortgage_Neufelder (2) „r.o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
Gan : FOR DEDUCTION FROM ASSESSED VALUATION
J State Form 43709 Department 14) 26
(51,A(..01\^ 2019
Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Math
To be tiled in person or by mail. F filed I
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 i 'o
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 county 1
where the property is located during the twelve(12)months before March 31 of each year the deduction is sought. F B 1 2018
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Joshua M. & Cassandra N. Neufelder
Taxing District Key number-legal
. tion �( id � 4-s. 6l)R
O��� 26-18-28-100-002.420-025/: Epperson Minor Sub. Lot 4-Gibson County �S 6
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness un id as of Is the applicant the sole
March 1,current year March 1,current year date of application legal or equitable owner?
t 303. f ( • 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 Acwssed
MI Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Hallmark Home Mortgage LLC
Address of mortgagee or contact seller(number and street,city,state,and ZIP code)
7421 Coldwater Rd Fort Wayne, IN 46825
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street.city sate.and ZIP code)
Does applicant own property in any If yes,what county? „v What Taxing District? Has this deduction been requested If yes,state amount of deduction
other count' �pql 1 ' on property for Ca No in Indiana? IV IAI NO current yeaR 'e5 Ip NO > 01 7't
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
owne / ntract buyer of the aforementioned property on date application is filed.
Signatu wners full name) Date(month,day,year)
v H
1/24/2018
Full re ent address of applicant(number and street,city state,and ZIP code)
8 0 South 450 West, Owensville, IN 47665
Pe 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 S10,000.