HomeMy WebLinkAboutMortgage_Howard (6) odirm4.,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
diS_ FOR DEDUCTION FROM ASSESSED VALUATION
L .12 State Form 43709(R12/6-14) Gibson Union 2020
Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be filed in person or by mail. Form filed with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be filed orpostrnarked with the County Auditor or County Recorder of the county where the property is 111 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)
Keith Howard
Taxing Disrct Key number/legal description RecaW au I r Page number
026 26-19-18-301-000.180-026/Hillcrest pt Lot 63 cQ --`-013�
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.torten year March 1.current year date of application legal or equitable owner?
$158,574.00 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
/❑ Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee contractor seller FILED
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
Name of assignee or other owner or holder of mortgage JUL 11 2019
Address of assignee(number and street city,state,and ZIP code) /�
Does applicant own property in any If yes.what county? What Taxing District? Has this deduction blI megQ U perifi7taA43Dicroqeduction
other county ,—,/ on property for
in Indiana? ❑Yes LSNo 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 , 2 20 20 20 20 20
Signature of County Auditor \ , \ County Date(month,day year)
AA
I I We certify under t-- .ena of perjury t.. t - ... :—n. foregoing information is true and correct and that the applicant is a resident of Indiana and
ow r I con,.c bu f the aforemen".ned proper( on date application is filed.
Sign ure(.//rs f II : : Date(month,day,year)
-1 / %�, ( , -�ii 6/21/2019
F i resident-ddr>'- .f applicant number a, tree , tate,and ZIP code)
501 East len Street, Fort Branch, IN 47648
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.