HomeMy WebLinkAboutMortgage_McGathy (2) a<074,i STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
�__ _ FOR DEDUCTION FROM ASSESSED VALUATION
"irili State Form 43709(R12/6-14) Gibson 021 2020
Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be filed in person or by mail. Form fled with:
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 is I] 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 located during the twelve(12)months before March 31 of each year the deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Edward Harold McGathy
Taxing District Key number/legal description Record number Page number
021 26-11-31-400-004.609-021/BK Ridge Estates Lot 8 020/ 9 013 9 S'
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
March 1,current year March 1.current year date of ap ic Otit 1_,i ,--, le mn gal or equitable owner?
$ Pt--) 0 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
0 Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Ruoff Mortgage Company, Inc. FILED
Address of mortgagee or contract seller(number and street citystate,and Z/P code)
1700 Magnavox Way, Suite 220, Ft Wayne, IN 46804
Name of assignee or other owner or holder of mortgage
JUN 1 R 2019
Address of assignee(number and street,city state,and ZIP code)
•
Does applicant own props in ny If yes.what county? Tat Taxing District? Has this deduction bee ./p N ..a-g:' -v jg71rf state amount of deduction
other county on property frQ lgrn� �Ndl Y
inIndiana? ❑yes o current year? crrrCC AUDITOR
A person is not entitled t 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 \;I 20 20 20 20 20
Signature of County 6 Tr; \ County 1 `C0{N Date((manic dye an
y1) 1,(A`
It We certify under the penalty of perjury that the above an orng information is t e nd correct and that the applicant is reside 1t of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
)çnatq(ow efs r n e Date(month.day.year)
nt,
Full resident address of applilir4nber and street,city,state,and ZIP code)
5754 West Old Princeton Road, Owensville, IN 47665
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$10,000.