HomeMy WebLinkAboutMortgage_Walker STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
I . State Form 43709(R11/6O9) GIBSON HAUBSTADT 2018
C4-ii 1 Prescribed by Department of Local Government Finance
INSTRUCTIONS: t,p
INSTRUCTIONS: RpMdnc
To be filed in person or by mail. t 'Form fiddle
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be filed with the County Auditor or County Recorder of the county where the property is locatecAU G 3 ,$County Auditor
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 where the property is located during the twelve(12)months before March 31 of each year the
deduction is sought. (4•
See reverse side for additional instructions and qualifications. f:I RCEN ini!ATV AI IOITOR
Applicant(owner or contract bwer-see restrictions on reverse side)
Ilatthew W. & Winter D. Walker
Taxing District Key number I legal description Record number Page number
HABUSTADT • 26-19-36-303-000.749-009 `a.0 p — ' r ' r)--
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
March 1,anent year March 1,current year date of application legal or equitable owner?
345,400.00 300,000.00 $323,000.00 ❑ Yes ❑ No
If no,what is his I 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: 1 Is the property in question:Annually Assessed
❑Real Property ❑Mobile yAses e(61,1-7)
Name of mortgagee or contract seller
FIRST NATIONAL BANK OF CARMI
Address of mortgagee or contract seller(number and street.city,state,and ZIP code)
201 E.MAIN STREET,CARMI, IL 62821
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city.state,and ZIP code)
Does applicant own properly in any other If yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
❑ Yes ❑ No ❑ Yes ❑ No
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.
n ur0 owners tuft name) ^ I IJ D to(month,day,year)
9vo[7( l/( )/y/,///,{,./i-9-44 wllv.�l� in W.ok- taitt / .•�07— 2)— ZO1P
Full resident address ofappli(antt(n berr and street,city.state.and ZIP code)
Person authorized by duly executed Power of Attorney or by IC 5-1.1-12-0.7 Date(month,day,year)
Address of authorized person (number and street,city state,and ZIP code)