HomeMy WebLinkAboutMortgage_Morgan (6) ��'=_,g 5T \
STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownshipYear
Tr . `° FOR DEDUCTION FROM ASSESSED VALUATION
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Gibsoneg_Lt,'rc2020
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State Form 43709(R14/1-20)
%er6 Prescribed by Department of Local Government Finance RECEIVED
File Mark
INSTRUCTIONS: To be filed in person or by mail. S,,,j ` AUG 2 O 2019 Foorrm filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. WE County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side) .
Matthew A. Morgan and Shannon M. Morgan
Taxing District MI Key number/legal description Record tuber Pa e `' r
J n 26-22-01-200-000.001-009/PT E FR 1 4 11 .6272 AC /''v1 V
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?
$0.00 $138,000.00 0 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
❑x Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller 4 7
Heritage Federal Credit Union ' r ,
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) r "tom fow. tom`
5388 Old State Road 66, Newburgh, IN 47630
Name of assignee or other owner or holder of mortgage AUG 2 0 2020
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property i any If yes,what county? What Taxing District? G os N t' ternAtorteR If yes,state amount of deduction
other county ❑ Yes No on property or ❑ Yes ❑ No
in Indiana? current year?
A person is not entitled o 's 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
Signature of County Auditor m / County Date m nth,day, ear)
Gibson �
I/We certifyunder penaltyof perjury that the above and foregoing information is true and correct and that the applicant is a resid�nt of In iana and
P J ry 9 9 PP
owner/contract buyer of the aforementioned property on date app'cation is filed.
lure s f !name) A... ..e/eDate(m th,day,y ar) ao
Full sid nt address of applicant(nu er a street,city,state,and ZIP code)
4 S. est St., Haubsta , IN 7639
erson 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)