HomeMy WebLinkAboutMortgage_Maier III A;;Cil �; STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
(„4.-. ' FOR DEDUCTION FROM ASSESSED VALUATION .
if... t �j Posey Wabash 2019
i +? sate Four.43709(R13/10-15)
.'``^,,b'-- Prescribed by Department of Local Government Finance ••
tolk
INSTRUCTIONS: • v S �" , 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 0 County Auditor
located on or before January 5 of the immediately succeeding calendar year.
2) Mobile!Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county 0 County Recorder
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)
Herman Paul Maier, III and Jacquelyn D. Maier
Taxing District Key number/legal description Record number Pa nu b
. Wabash
indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date,current year date of application legal or equitable owner?
$0.00 • $327,250.00 • 1 Yes 0 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
rTropeually
Assessed
----- M ile Home(IC 6-1.1-7) —
Name of mortgagee or contract seller �.d
Farm Credit Mid-America, FLCA •
Address of mortgagee or contract seller.(number and street,city,state,and ZIP code) JAN 0-2 Mu
PO Box 34390, Louisville, KY 40232-4390
Name of assignee or other owner or holder of mortgage /
.i. .a..
Address of assignee(number and street,city,state,and ZIP code) GlBSON COUNTY AUDITOR
6.,:,....zrappliMaticIllproperty in an If yes,what county? What Taxing District? Hasthisdeduction been rec sted If yes,state amount of deduction
-3tt on orop for
in Indiana? ❑ r y Yea No current year? ❑Yes ❑No
.4 person is not entitled to this deduction unless the person ha, a balance on the persons mortgage or contract inciebrethte ss(Mat is recorded in thecounty
recorder's office(inc udThg any borne c'!lity 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 20 20 20 20 20
Signature of County Auditorw_.7.
0_ County Date(m nth,day, ear) •
'.'`V� CYO Posey 01��2 Z�
I/We certify under penalty of perjury that the.••,-�a'nd foregoing information is true and correct and that the applicant is a resi ent of diana and
owner/contract buyer of le aforementioned property on date application is filed.
tignatur re(of n''1 nam - Datet(montilAay�;yeai
/2 Li—/gam
Full resident address of applicant(number and street,city,state,and ZIP code)
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) -
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