HomeMy WebLinkAboutMortgage_Earl STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
af- ; 1.
FOR DEDUCTION FROM ASSESSED VALUATION
Form
State
' %e' 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. ❑ 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)
Earl, Aaron
Taxing District Key number/legal description Recpr.�n m Pagg num e
Montgomery 26-17-12-204-000.557-022 C�/J�VdAU ( •S',
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of is the applicant the so e
assessment date,current year assessment date,current year date of application legal or equitable owner?
74,747 E] Yes ❑ No
If no,what is his I 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
El Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Masters of Indiana, Inc. FIL
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
501 N Cross Pointe Blvd Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
FEB 2 5-2020
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this ded s, (:. If yes,state amount of deduction
other county on proppert f
in Indiana? ❑Yes No currfn9N® Nl[51@d)DITOR
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is recorded 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 amo.It of:
20 1 4. 20 20 20 20 2
Signature of County Audit. # County Date cpyth ear)
I/We certify under the A•-Ity of perjury t• : t - -•• e . d foregoing information is true and correct and that the applicant is residen of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(hwner's full name) Date(mon h,day,year)
DL- \���, ��� 2/14/2020
Full resident address of ap licant(numb r and street,city,state,and ZIP code)
306 S Second St 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)