HomeMy WebLinkAboutMortgage_Howell 0eR,k4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
� ,�,�.:£ County Township Year
,;1'.c—A FOR DEDUCTION FROM ASSESSED VALUATION tyy(���
0 '• State Form 43709(R13/10-15) 20
*tale , Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: •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. ❑ ounty 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 Se�trictions�rse side)
Taxing District Key number/legal description Record number PpgeS nun34,er
26--12-� \ —BOO RT-022 Zo1°t
Assessed value of real propertyas of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract�'Cdebtedness unpaid as of Is the licant the sole •
assessment date,current yearassessment date,current yeardate oficy/ 00 0 legal quitable owner?
I �p Yes 0 No
If no,what is his/her exact share of interest? If owned with som ne other thin spouse,indicate with whom
If name on record is different than that of applicant,indicate below: I-th, property in question:Annually Assessed
■ •eal Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of morS9. r contr �r k
1114:11�I
Address of mortgagee or cor..Y-,-.a,,..J,. 1,,,,..,-r_ r,..t ruts_state_and ZlP_code)_
Name of assignee or other o p\1 .6 2019
'316H-(2-1Th q- 1-10C3-2S°
Address of assignee(numbe j� �_�J"j(
P P y t Lbe nITOR
Does applicant own property F-: .bid ���� },s�tfirSdLTdion been requested If yes,state amount of deduction
other countyn ro ert for
in Indiana? 0 Yes !urrent year? ❑Yes ❑No
A person is not entitled tc mortgage or contract indebtedness that is recorded in the county
recorder's office(includin 4 y� 1' CI' _� 7 () (order's office)that is the basis for the deduction.
Deduction approved in the r
20 4 (co., i 20 20 - 20
Signature of County Auditor ) S' �V Date(month,day,yeah
I/We certify under if 62R 1 'I�J '0in • rue and correct and that the applicant is a resident of Indiana and
owner/contract buys C
Signature( ee full I nan�t 10 Date(month,d ead
ull re 'de address of ap li nt(number and stye city,state,a code) •
G z_ n e�s� Nye , s�1 �- 6
Person authorized by duly executed Power of Attorney or by fC 6-1.1-12-0.7 I Date(month,day,year)
Address of authorized person (number and street,city,state,and ZIP code)
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