HomeMy WebLinkAboutMortgage_Luttrull (4) fin„-. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS — CountyTownship Year
',.i. FOR DEDUCTION FROM ASSESSED VALUATION 1 ^^
,`�'` State Form 43709(R13/10-15) RECEIVED G3O ' 0 2-2 'V2
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'%', Prescribed by Department of Local Government Finance
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INSTRUCTIONS: j AUG 2 4 2019 File Mark
To be filed in person or by mail. 01\ Form filed with:
Filing Dates: 1) Real Property:Must be comp! d 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. ounty 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)
LUTTRULL, ADAM PAUL
Taxing District Key number/legal description Recty n niter Page number _
OWENSVILLE 26-17-12-202-000.095-022/PT NE 12-3-12 .233AC !�J `OJ`l)i 23S� (. 7
Assessed value of real property as of Mortgage I 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�equi�ta le owner?
58300 65000 63822 es ❑ 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 operty in question:Annually Assessed
Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Plaza Home Mortgage, Inc
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
6420 Sequence Drive, Suite 200, San Diego, CA, 92121
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in y If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for
in Indiana? Yes No current year? ❑❑ 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 It 20 20 20 20 20
Signature of County AuditorW County 1 Date Th2dyil aI/We certify under the penalty of perjury that the above and foregoing information is true d correct and that the applicant is a resid t of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
at re w is full me) Da3(monfh,flay,year)
Full resident a ress of applicant(number and street,city,state,and ZIP code)
207 E Montgomery Street, 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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant 7) \ 1 � Name of mortgagee or contract seller
Date filed( ay,year) `"•`/V Amount of indebtedn ss Taxing District
wit,
/
Key number/legal description
26--1l--}2___/02., oo. OG-=02 `z 2-020 -23SD
•
Signature of County �t County Recorde County ` Date(mcgryeal