HomeMy WebLinkAboutMortgage_Alexander 0�es,*P„&, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
,r`'' FOR DEDUCTION FROM ASSESSED VALUATION
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\�,"}'j:`;_ /b State Form 43709(R13/10-15)
6 i Prescribed by Department of Local Government Finance
FIL
INSTRUCTIONS: E ;it
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. 22
Must be filed or postmarked with the County Auditor or County Recorder of the county where the prdp&rtj i3 202t 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 th ounty
where the property is located during the twelve(12)months before March 31 of each year the deduct' n/Q
See reverse side for additional instructions and qualifications. GIE; JN COUNTY AUDITOR
Applicant(owner or contract buyer-see restrictions on reverse side)
Jonathon W. Alexander
Taxing District Key number!legal description Record number Page number
Princeton 26-12-18-101-002.961-028 go ?-0 5 it
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I 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?
$117,000.00 0 Yes El 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
0 Real Property El Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
First Robinson Savings Bank, NA
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) -
501 E Main St., P.O. Box 8598, Robinson, IL 62454
Name of assignee or other owner or holder of mortgage 9fted,f1,01J 0
Address of assignee(number and street,city,state,and ZIP code)
I
Does applicant own property in any If yes,what county? What Taxing District? uction
other county h
in Indiana? CI Yes No A I) ,l 1 I
A person is not entitled to this deduction unless the person has a balance on the persoi 9 county
recorder's office(including any home equity line of credit that is recorded in the county
COUNTY AUDITOR
Deduction approved in the amount of:
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 bu r of the aforementioned property on date application is filed.
Sign- . 1.wners arr Date(month;day,year)
01/27/2020
II resident address of applicant(number and st et,city,state,and ZIP code)
910 S Virgil Blvd., 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 nenalties for neriury can include imprisonment uo to two and a half years and aline not to exceed S10.000.