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HomeMy WebLinkAboutMortgage_Neufelder STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Court Township Year `a ,o FOR DEDUCTION FROM ASSESSED VALUATION Qy State Form 43709(R13/10-15) p s Johnson 2018 ,iii Prescribed by Department of Local Government Finance N_ ( J INSTRUCTIONS: File Mark To be filed in person or by mail. I nnit 2 — 2p18 Form filed with: Filing Dates: 1) Real Properly:Must be completed and dated in the calendar year for which the deduoA is sought Must be filed or postmarked with the County Auditor or County Recorder of the county where the prope • • © County Auditor located on or before January 5 of the immediately succeeding calendar year. '.� 2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the Coun I`• •• .1%4 •! • 0 'On o ❑ County Recorder where the property is located during the twelve(12)months before March 31 of each yea - derlikirX s aught. See reverse side for additional instructions and qualifications. CON V" t;10.- Applicant(owner or con/nc buyer-see restic ons on reverse side) Aaron B Neufelder t" "jcssit.G Q. NtuFek6e—f Taring District Key number/legal description Record number Pa number Johnson 26-18-36-300-002.596.024 ' ,0(s , `"�6 5� Assessed valued real property as of Mortgage/Conrad indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole .cen<sment date,current year a' 'sment date,current year date of application legal or equitable owner? 189,000.00 163920.00 I7 Yes ❑ No If no,what is his/her exact share of interest? It wined 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 17 Real Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Hometown Lenders LLC Address of mortgagee or contract seller(number and street,dry,state,and ZIP code) 310 The Bridge Street, Huntsville, AL 35806 Name of assignee or other owner or holder of mortgage Address of assignee(number and seeer,dry,state,and ZIP code) Does applicant ovm Property in any If y ,what county? What T rig District? Has this deduction uested If yes,state amount of deduction other county /� Q\u on property for in Indiana? Yes 0 N (.')Unit} I v(�a7�� current year? Yes 0 N i ll n00 A person is not entitled to this deduction unless the Wi-son 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) 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 date application is filed. Signature(owners full name)N C ;�/1 t/I ut „ ` Date(montp,da` / (�. Full resident address of applicant(number and street,city state,and ZIP code)ll. tj/ I—/J\ ' Jy 1316 W Chukar Hollow Rd, Haubstadt, IN 47639 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 sneer,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.