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HomeMy WebLinkAboutMortgage_Alston o, -"N, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count TownshipYear 1 '%`,4 FOR DEDUCTION FROM ASSESSED VALUATION y : ?', 1/� State Form 43709(R14/1-20) 2v 0 '.`:="%' Prescribed by Department of Local Government Finance • leis located on or before January 5 of the calendar year in which the property taxes are first.due and payable. ❑ County Recorder See reverse side for additional instructions and qualifications. Applicant(owner r contract buyer-seetest Monns�on reverse 1 e) iw Neal Taxing District Key number/legal description Record number Pa a number ooq 26-19-31-3o2-O . 414.-0o9 2o20 .3` 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 a li io eN legal;or q • ble owner? 00© Yes ❑No If no,what is his/her exact share of interest? If owned with som one other'than spouse,indicate with whom If name on record is different than that of applicant,indicate below: I e property in question:Annually Assessed Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or o tract s ler st_ C-44„x Address of mortgagee or contract seller(number and street,city,state,and ZIP code) FILE ) ) . Name of assignee or other owner or holder of mortgage AUG 21 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? H • l requested If yes,state amount of deduction other county El ❑No GIBST + No in Indiana? ''`-,A7l;R 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: 20OP PP 20 20 20 20 _ 20 Signature of County Auditor c_5 fiCounty Date( nth,‘a e � ^61 I/We certify under the pen, o perjury that the fng information is true and correct and that the applicant is a res dent of Indiana and owner/ ract buyer of the aforementioned property on date application is filed. S (owners full na era Dategitti,dug ygar) F esident address applicant(number and street,city,state,and ZIP code) � II I )�_) 01 S cc Si. 9Y1 119-639 • Person authorized by duly executed Power o Attomey 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) -rh,.........u.;,...s..,.,.,,,... ,„,.1„da i.,, ' .nenf,.n fn hurl,.,rl m half vcnre nnrl n firma not to ov,aorl Ain Jinn