HomeMy WebLinkAboutMortgage_Golday ��e=•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
���•,, �a,ye County Township Year
4+ -r ' i
FOR DEDUCTION FROM ASSESSED VALUATION
l';,). l 1D'1'. 6
State Form 43709(R13/10-15)
°�'''�016!
'° 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 ❑ County Auditor
located on or before January 5 of the immediately succeeding calendar year. Cl County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county
where the properly 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)
Donna Golday
Taxing District Key number I legal description Record number Page number
Princeton 26-12-06-303-000.827-028 20 2-0 I °cl
Assessed value of real property as of Mortgage/Contract 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?
$38,665.00 firYes ❑ 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 t ;I ~question:Annually Assessed
0 Al a i erty ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller 't ' fO
Quicken Loans, Inc. �
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) #� o�
1050 Woodward Ave., Detroit, MI 48226-1906 ., :So`�
Name of assignee or other owner or holder of mortgage tck "
cp
Address of assignee(number a \4
osS
Does applicant own property in O iing District? Has this deduction been requested If yes,state amount of deduction
other county Ad
on property for
in Indiana? Yes 0 Drawer NO current year? ❑
ElYes ❑No
A person is not entitled to thi nce on the person's mortgage or contract indebtedness that is recorded in the county
recorder's office(including a, '(�I_` r�, - - fed in the county recorder's office)that is the basis for the deduction.
Card NO. COUNTY AUDITOR
Deduction approved in the amo
20 20 20 20 20 20 20
Signature of County Auditor County Date(month,day,year)
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
owner/contract buyer of the of ementioned property on date application is filed.
Signature er's full name) Date(month,day,year)
W—El-' 01/13/2020
Full resi ent address of applicant(number and et,city,state,and ZIP code)
430 W. Glendale St., Princeton, IN 47670
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.