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HomeMy WebLinkAboutMortgage_Krieg (9) ��g-+. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County. Township Year y ' FOR DEDUCTION'FROM ASSESSED`VALUATION ls� ©2� 02� es,: f`�_ State Form 43709(R13 110-15) RECEIVED. E a EIg gED `] xr Ws tl! .: ..__<.- Prescribed by Department of Local Government Finance File Mark rb}8`. Sk— q INSTRUCTIONS: l'.--- Ad U 11L SEP 2 1 2O19 F filed with. To be filed in person or by snail i Filing Dates:`1) .Real Property Must be completed arid datedin the calendar yearforwhich the:deduction`is sought, CountyAuditor l 1!lustbe:fied or postmarked with the Couttt+Auditor or County Recorderof the county wh ere the property•is located on or before January S of.the immediately succeeding'calendar year County Recorder ) Mobile I Manufactured Homes not assessed':as Real"Property:;Must ftle;wlth the County Auditor oy the county wyherethe;propertyls located during'the tt`veltre(i2)mnonthsbefore Marsti:3.1 of each year the deduction rs sought., - - See reverse side foradditronal Instructions and qualifications Applicant(owner or contract buyer see restrictions on reverse side) • (7 _�^�� (�r vlJ Krieg , ` Record number Page number Taxing District key numtier/legal description , 3�a3 Ft.Branch 26 19-19 103 000 096 026 _ .. ,: Assessed value of real property as of "Mortgage/Contractindebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of is the t ( a pplica nt:the sole assessment date,current year :asessmende,curntyer dat of pplica4on legaloeq table owner? Yes _0 No o - If owned with'someone_ the0 than spouse,indicate with whom 1f no,what is his/her exact share of interest? . If home on record"is different than that of applicant,indicate below: Is the property in question:Annually Assessed ' 'I 19"eal Property 0 Annuallyessed, Mobite Hn� IC 8I'1 7) Name of mortgagee or contract seller Mortgage Masters of 2 Indiana, Inc. ISAO ._ Address of mortgagee or contract seller(number and street city,state,and ZIP code) SEP 2 20 501 N C,oee Pointe Blvd Evansville,IN 47715 --- .. Name of assignee or other owner or holder of mortgage 444_F.i, v `l t Address of assignee(number and street city,state,end ZIP code) GIBSON COUNTY AU1)1 i Does applicant own property in any If yes,what county? 'What Taxing District? Has this deduction been requested If yes,state amount of deduction other:£btrftty on prapPrty,for in lndlatta7.:._ ,D Yes D No current year2. ❑Yes ❑N o • ........ .. 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 :- 'Date Signature of County Auditor41y)c\1(\ /� County (month, a ye�r) IS�Ys � � � Qr22 2�20 I I We cell t'under the peperjury that the above and foregoing information tru nd correct and that the applicant is;:a resident of Indiana and L. owner I e tract buyer of the afore done f property on date application is filed. }g fur r er s tut erne) D to{ tFi:ita yaai); Olt resident eddies;;of applicant(number and street,city,s O.:ZIP code) 1004 S Center St Fort Branch; IN .4764; Date(month, year) . .. Person authorized by duly executed Power of Attorney or by IC 6-1.i-12-07 a e .day, Address of authorized person (number and street city,state,and ZIP code) ...._.. .. _,r..__-.._..d..f.'r.,...id M avrncri tan nnn