HomeMy WebLinkAboutMortgage_Henehan tf, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
3 % ; FOR DEDUCTION FROM ASSESSED VALUATION
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i' State Form 43709(R12/6-14) Gibson Washington 2020
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,ens 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 or postmarked with the County Auditor or County Recorder of the county where the property is l] 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)
Ryan Henehan and Ashley Laine Buck Henehan
Taxing District Key number/legal description R u ber Page number
017 26-02-47-008-000.767-017/PT LOC 8 1-10 7.45AC uri Li(}-3- ---
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 application legal or equitable owner?
$195,448.00 E 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 Pro erty ❑ Annually Assessed
•1 ome(IC 6-1.1-7)
Name of mortgagee or contract seller
Bank of England 1 E ,11k,
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
P. O. Box 3490, Little Rock, AR 72203 OCT 3 2019
Name of assignee or other owner or holder of mortgage
•
Address of assignee(number and street,city,state,and ZIP code) { �
GIBSON COUNTY AUDITOR
Does applicant own property i any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes o current year? ❑Yes ❑No
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 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 Tiont
1A ( n) 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/contract buyer of the aforementioned property on date application is filed.
Signature(owner' fu name) Date(month,day,year)
9/25/2019
F sident address of applicant(number and street,city,state,and ZIP code)
5406 East State Road 56, Hazleton, IN 47640
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)