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HomeMy WebLinkAboutMortgage_Heldt (10) _ c% STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C;unty Township Year '`rt FOR DEDUCTION FROM ASSESSED VALUATION ...:-.0-, �C�iv�� 3Kir) ©2 4 . 2020 %...•,?.• ', State Form 43709(R13/10-15) y � File Mark Prescribed by Department of Local Government Finance AUG 2 5 1019 INSTRUCTIONS: 1 To be filled in person or by mail. C(Y e , Form filed with: Filing Dates:1)Real Property:Must be completed and dated in th alendar 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 located on or before January 5 of the immediately succeeding calendar year. X County Auditor 2)Mobile/Manufactured Homes not assessed as Real Property.: Must file with the County Auditor of the ❑ County Recorder 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) Marcy Heldt and Lauren Heldt Taxing District Key number/legal description 1531 E 1200 S Recor nurn�er Page number Haubstadt, Indiana 47639JJ(( a I Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of'Is the a plicant the sole assessment date,current year assessment date,current year date of application leg o equitable owner? $360,000.00 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: I th, property in question: Annually Assessed ■ eal Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller t. Banterra Bank i .,. Address of mortgagee or contract seller(number and street,city,state,and ZIP code) ,,, ..: 133 Cross Pointe Blvd., Evansville, IN 47715 AUG %5 2p20 Name of assignee or other owner or holder of mortgage AUG Address of assignee(number and street,city,state,and ZIP code) UDITOR Does applicant own property in any If yes,what county? What Taxing District? GI cinAtypiqqaftted If yes,state amount of other county GIB deduction in Indiana? ❑ Yes 0 No current year? •❑ Yes 0 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 Signature of Cou ditor lAL (Q,,q County \ C Date(mo , day,y I/We certify un r penalty of perjuu y ttaat the above and foe oing information is true and correct and that the a licant's a resident of Indiana and owner/contract buyer of the aforementioned property on dray ,application is filed. p j Signature 2aA-ner's 7 ll / X ')1,{,c/I.L✓l (t e,d Da 1 I ICE a/Ze r1-Q Full resident address of applicant(number and street,city,state,and ZIP code) 1535 E 1200 S, Haubstadt, IN 47639 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)