HomeMy WebLinkAboutMortgage_King (2) / ^•n� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
/ % FOR DEDUCTION FROM ASSESSED VALUATION
` • State Form 43709(R12/6-14) Gibson Princeton
\ � Prescribed by Department of Local Government Finance -
INSTRUCTIONS: File Mark
To be filed in person or by mail Form filed with:
Filing Dates: I) 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 is ❑ 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 the county
where the property is boated during the twelve(12)months before March 31 of each year the deductbn is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner cr contract buyer-see restrictions on reverse side)
Matthew S. King and Kasie N. King
Taxing District Key number/legal description Record number Page number
Princeton 26-12-18-201-001.260-028 X016 90Z S
Assessed value of real property as of Mortgage/Contact indebtedness unpaid as of Mortgage I 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'?
102,600.00 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
Q ❑ Annually Assessed 6-1.1-7)
Name of mortgagee or contract seller
Ruoff Mortgage Company, Inc- —✓�
Address of mortgagee or contract sever(number and street,city,state,and ZIP code)
AUG 8 2018 Of
Name of assignee or other owner or holder of mortgage /1
r!( A
Address of assignee(number and street,city,state,and ZIP code) 1A41CTT
GIBBON CpUN(`I hin
AUnlrnq
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
othercoumy `^ 7 onpropeMfor ry
in Indiana? Yes ❑No Q �'�'�(,{to on' �'1 - current yea(! yta Yes ❑No
A person is not entitled to this deduction unless the pb/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 fine 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 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/contract buyer of the aforementioned property on date application is filed.
Signat owners full l� Date peer)
Full resident address of applicant((nn`/umber4a d street,city,state,and ZIP code)
901 S Race St., Princeton, IN 47670
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 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.