HomeMy WebLinkAboutMortgage_Monaghan II �,z,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
'� :°n County Township Year
o�. e FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709(R12/6-14) Gibson Montgomery 2020
�—« 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 X 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)
Daniel P. Monaghan II
Taxing District Key number/legal description Ree rd number Page number
022 26-17-12-201-000.176-022/Old Plan 52, Gibson County 6101 9/9O 0 O 5.(.9(
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appli t the sole
March 1,current year March 1,current year date of application legal or e able owner?
$142,373.00 '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: s e property in question:Annually Assessed
0
al Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Masters of Indiana, Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) ink
501 N Cross Pointe Blvd, Evansville, IN 47715 IL _ ,JIti
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) DEC .3 0 2019
Does applicant own prope i any If yes,what county? What Taxing District? Has this deduction been uested If e amount of deduction
other county on property for j e;,.�r
in Indiana? ❑Yes No current year?e��R❑SSyC��I tt�',��'Nii o�1-
A person is not entitled to hi deduction unless the person has a balance on the person's mortgage t1rt,°�7PttP2Ct'ircaYei esstkaiF e9orded in the county
recorder's office(including any home equity 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 20
Signature of County•'il itl . ,,
County Date(month,day,year)
T%1 cCS }2r30-11 .
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
ow /contract buyer forementioned property on date application is filed.
Sign o n Date(month,day,year)
�, 12/20/2019
Full resident address of applicant(number and street,city,state,and ZIP code)
208 South Church Street, Owensville, IN 47665
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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.