HomeMy WebLinkAboutMortgage_McCarty (4) -0—"'�a, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
11 FOR DEDUCTION FROM ASSESSED VALUATION
1, ' 'r , State Form 43709(R14/1-20) RECEIVED Gibson 0 Q� 2020
ore Prescribed by Department of Local Government Finance RECEIVED
V
INSTRUCTIONS: To be filed in person or by mail. �. SEP 0 1 2019 File Mark
Foam filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. I�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. ❑ County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Richard A. McCarty, Jr:and Crystal K. (Sensmeier)McCarty
DOTaxing District ey number/legal description Record number Pe umb- er
H adt 26-18-36-400-000.857-009/E M B Estates Lot 3 2-O • '.C`�`f
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 legalor eq�ui'ble owner?
$0.00 $211,000.00 dd'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 ert m question: d
Realop Propertyy ❑Annually Annually Assessed Assessed
1F'JT ..E Mobile Home(IC 6-1.1-7)Name of mortgagee or contract seller
Heritage Federal Credit Union A
c�
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
5388 Old State Road 66, Newburgh, IN 47630 AUG 2 Q
Name of assignee or other owner or holder of mortgage V 2020
Address of assignee(number and street,city,state,and ZIP code) )tl cn n_
--
Does applicant own property in ny If yes,what county? What Taxing District? C/13§.� hcfiait i66Yb raiii-eni If yes,state amount of deduction
other county ❑
in Indiana? Yes No on property for 0 Yes 0 No
current year?
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 County it �1 ` County Date(month,day,year)
'1r\ Gibson ct • k- 1-050
I/We certify under penalty of perjury at the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owgntract buyer o e of eme Toned property on date application is filed.
Signatne ll n O. J �l ceate( nth, ay,y@ar)
Full redress applicant(number an street,city,state,and ZIP code)
802 W. Elm St., 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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.