HomeMy WebLinkAboutMortgage_Moser Jr ,�e „„ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
l'te a FOR DEDUCTION FROM ASSESSED VALUATION
1 ••t State Form 43709(R13/10-15)
yam`.eie=%✓ Prescribed by Department of Local Government Finance
INSTRUCTIONS: IL- F-, ark
To be filed in person or by mail. F m filed with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sou VAR 1 2020
Must be filed or postmarked with the County Auditor or County Recorder of the county where the properly is County Auditor
located on or before January 5 of the immediately succeeding calendar year. 0- ounty Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor o `re cou ty_ 1
where the property is located during the twelve(12)months before March 31 of each year the de•-. ;q -erni1% —
See reverse side for additional instructions and qualifications. GIBSON COUNTY AUDITOR
Applicant(owner or contract buyer-see restrictions on reverse side)
Donald L. Moser, Jr.
Taxing District Key number/legal description Record number Pa a number
Oakland City 26-14-18-301-001.210-007 202o 1 ` , I
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?
$160,606.00 E1 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: Is the property in question:Annually Assessed
❑✓ Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller __ -
Bank of England goRo
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
5 Statehouse Plaza, Suite 500, Little Rock, AR 72201 Drawer NO
Name of assignee or other owner or holder of mortgage •
Address of assignee(number and street,city,state,and ZIP code)
Card.NO. . � l
Does applicant own property in any If yes,what county? What Taxing District? Has•.,L-..G..YNIIv,I VCCII I eyuesteu it yes,state amount of deduction
other county on property for
in Indiana? Yes No current year? ❑El Yes ❑No
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 amount of:
20 20 20 20 20 20 20
Si ature of County Audit County Date(month,day,year)
,0(‘..02. ..4,_ i
1/We certify under the penalty of perjury t CI e above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/co ract buyer of the aforementioned prop on date application is filed.
Signature(o =r's full name) Date(month,day,year)
.,� �� 03/06/2020
Full :'i.ent address of applicant(numb r and street, - y,state,and ZIP code)
411 W. Oak St., Oakland Cit , IN 47660
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 nonarfioa fnr norinni r-an inr-lurla imnrisnnment'In to two and a half years and a fine not to exceed. 10-000.