HomeMy WebLinkAboutMortgage_Richardson (2) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
ocs. •,; FOR DEDUCTION FROM ASSESSED VALUATION
Slate Form 43709(R13 I 10-IS)
b ""' •• Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS:
To be tiled in person or by mall. Farm tilen with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar your 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 your. 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 Match 31 of each your the deduction Is sought.
See reverse.side for additional-nsfructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Thomas Richardson
laxm District Key number I legal description Record number Page number
�1. branch, 26-18-13-401-001.850-026 20;9 45/0
Assessed value al real property as of Mortgage I contract indebtedness unpaid as of Mortgage 1(:onlrec1 indebtedness unpaid as of Is the applicant the solo
assessment date,current year assessment date,current year date of application legal or equitable owner?
$61,050.00 ® Yes ❑ No
If no,what is his l her exact share of interest? If owned with someone other than spouse.Indicate with whom
If name on record Is different than that o1 applicant.indicate below - — - - _ _ I Is the property In question:AnnuallyAssossoc__ —__ _
r®.RealPr • .•u-,y4.ssessed
F .iM o rt.- (ICe-t.1-7)
Name of mortgagee or contract seller
„.
Ruoff Mortgage Company, Inc.
Address of mortgagee or contract seller(number end street,city,state,nod ZIP code)
1710 E.Edison Rd.; South Bend,IN 46617 N 0 V 0 7 2019
Nome of assignee or other owner or holder al mortgage
�rl e
Address of assignee(number end street,city,state,and ZIP code) wf�tu-�L3r
. GI.B.SON COUNTY AU TOR .
Does applicant owri.proporly In airy If yes what county? • What Taxing District? Has this deduction boon requestec If yes,slate amount or deduction
other county on property fur
in Indiana? ❑Yes El NO current year?••❑Yes ❑Na
A person Is not entitled to this deduction unless the person has;a b lance on the persons mortgage or contract Indebtedness that is recorded in the county •
recorder's ollioe(including any home.equlty line of credit that is recorded in the county recorder'sofftce)that Is the basis for the deduction.
COUNTY.AUDITOR . . •
Deduction approved in the amount 01:
20 20 2(1- 20 _ 20 20 20
•
Sign r a!County Auditor ..-• - County Date(month.day.year)
•
t.bst I I- 1- 20) 9
1 We certify un e penalty of perjur that the above and foregoing information is true and correct and that the applicant Is a resident of Indiana and
owner 1 contract buyer of the afore ntionod property on date application is filed.
rture(ow r' Rnao, Date(month.day, ear
______LV
•
Full roshont address o ppticant(number and street,city,state.and LIP code) • - -
401 N West Street,Fort Branch,IN 47648 •
Person authorized by duly executed Power of Attorney or by IC ti-1.1-12-0.1 Data(month.day,year)
Address of authorized prison sun (number and street.city!state,and ZIP code)
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