Mortgage_Carroll (6) ;�: STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township j Year
'V- FOR DEDUCTION FROM ASSESSED VALUATION 1 r/
State Presc
ribed 9(813 1015) /(bG/11/1 �jl n/�In WI
,e Prescribed by Department of Local Government Finance v V7,5%�r�� / /ll I f (S/`V
INSTRUCTIONS: IL ;I0i
To be filed in person or by mail. 'witty:
Filing Dates: 1)Real Property:Must be completed and dated in the calendar year for which the deduction is sou �
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. A 2 Z)�® County Recorder
2)Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the ct u ty
where the property 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
Applicant(owner or contract buyer-see restrictions on reverse side) 0l8804 C O U IN I I '\t J U I I OH
William J. Carroll ,
Taxing District Key number/legal description Record number Page number
Princeton 26-12-08-203-003.401-028 11018 — X95
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appli a sole
accessment date,current year assessment date,current year date of application legal o ,n ble p neR
103,600.00 126,262.00 Yes LJ 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 N roperty in question:Annually Assessed
eal Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Stearns Lending, LLC
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4 Hutton Centre Drive, 10th Floor, Santa Ana, CA 92707-8710
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 ,y If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county ,--, property for
in Indiana? Yes 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 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 =