HomeMy WebLinkAboutMortgage_Harvey (5) �40cr.per STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
°%- FOR DEDUCTION FROM ASSESSED VALUATION
"\z�f!`.;Ly. State Form 43709(R12/6-14) Gibson Union 2020
'ham"="�' Prescribed by Department of Local Government Finance
BIB
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 ❑✓ 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)
Allen G. Harvey and Amanda S. Harvey
Taxing District Key number/legal description Recyki `L
n i fir, Page number
026 26-19-18-303-000.323-026/Walters Add 152 pt, Gibson County `id '1
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?
101535 El 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 or contract seller ,,._ ` ; . s
Mortgage Masters of Indiana, Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) jay"
501 N. Cross Pointe Blvd., Evansville, IN 47715
Name of assignee or other owner or holder of mortgage NOV
o 1 0 6' 2019
Address of assignee(number and street,city,state,and ZIP code) IV V
Does applicant own roe in an Ifyes,what county? What TaxingDistrict? Has this deductt}y'yqqq,�� e , of deduction
other county property�/' y on property fory�$� � ����
in Indiana? ❑Yes l.) No current year? LLII 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 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 :
20 2 20 20 20 20 20
1
ignature of County Auditor County \ Date( ont, y, ea /q
‘t-k.4\ CAThi tf\IVIthb°
I/We certify under the pe Ity of perjury that the ab d foregoing information is tr e a d correct aid that the applicant is a eside t f Indiana and
owner/contract buyer of the aforementioned prope y on date application is filed.
XSign tu Awner's full name) Date(month,day,year)
Full resident address of app scant(nu er and street,city,state,and ZIP code)
300 East Locust 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)
Tha nanaltiae for nnrinn,ran inrinrla imnricnnmant sin to hnin and a half vnarc anti a fins not to avranrl.R1n nnn