HomeMy WebLinkAboutMortgage_Alvarado ,C,74, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESSCountyTownship
d,�_� ,a Year
FOR DEDUCTION FROM ASSESSED VALUATION
./, State Form 43709(R13/10-15)
�''�' Prescribed by Department of Local Government Finance
1me
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)
Alvarado, Thomas R. and Alvarado, Cara M. •
Taxing District Key number/legal description Record number Page number
Columbia 26-13-13-402-000.157-007 2D Z0 , pigs
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 d to of application legal or equitable owner?
\'i Z 50b'0° El 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
❑✓ Real Property ❑ Annually Assessed
u obile Home(IC 6-1.1-7)
Name of mortgagee or contract seller �� #FIL
1
Mortgage Masters of Indiana, Inc. ISAOA _ _ r
.ram
Address of mortgagee or contract seller(number �y
501 N Cross Pointe Blvd Evans,de,IN 47715 f c _ APR 7 ,S O^O
Name of assignee or other owner or holder of meil- P L L
Address of assignee(number and street,city,ste // ' I V 14 /C /I-.D O
q i r O NTY AU OR
IA
Does applicant own property in any If yes,whi dE r tyjbsTed If yes,state unt of deduction
other county
in Indiana? ❑Yes ❑No Yes ❑No
A person is not entitled to this deduction un. `ract indebtedness that is recorded in the county
recorder's office(including any home equity 0 .1-0 / IlL7 c it is the basis for the deduction.
Deduction approved in the amount of: -
St
20 20 / 7 4-I 5 4�. J 20 20
Sign a ^
fsC/o�u�nty Auditor, .�/ County r-'^ Date(month,day,
yea,) o
e certify under the penalty of perjury that he above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date applica d.
ature( ner's full name) Date(month,day,year)
kk-3 —70`U6
Full resident address of applicant(number and street,city,state,and ZIP code)
831 W Oak St, Oakland City, 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 nenaltiee for nerinni ran inrlurie imnrisonment Fin to twn and a half veare and a fine not to exceed 110.000_