HomeMy WebLinkAboutMortgage_Britton ,a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
A_ _ % FOR DEDUCTION FROM ASSESSED VALUATION
' State Form 43709(R131 10-15) Gibson
Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be filed in person or by malt Form feed 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 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 hveNe(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)
Donald Britton
Taring District Key number/legal description Record number Page number
Montgomery 26-10-36-101-000.487-021 20R ILI gQ
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date,current year date of application legal or equitable owner?
$206000 ❑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 deferent than that of applicant.indicate below: Is the property in question:Annually Assessed
ID Real Prope �tually Assessed
Ile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Loan Care
Address of mortgagee or contract seller(number and street,dry,state,and ZIP code) p 60\
Name of assignee or other owner or holder of mortgage \\\-
a1 �R
1 " o\�
Address of assignee(number and street.city,state,and ZIP code) t/. (
cp
Does applicant own property in any If yes,what county? what Taxing District? Has this deduction been requested 4031#,state amount of deduction
other county on property for �0
in Indiana? ❑Yes �No current year? D Yes ❑ft
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)
st<1.T.1411i3 Gibson
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.
Signature(owner's tug name) Date(month,day,year)
�.�, . i 07/08/19
Full resident address of applicant(number and street,city,state,and ZIP code)
3849 S St Rd 65, Owensville, IN
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. •
•
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INGEST-WM E •
Name of applicant Name of mortgagee or contract seller
Donald Britton Loan Care JUL 0 2019
Date filed(month,day,year) Amount of indebtedness Taxing District
07/08/19 $206000 Montgomery
Key number/legal description
Donald Britton amiLiget—
Signature of County Auditor/County Recorder County CIDN a�eR raary�r,DlTOR
Gibson 1007/08/19