HomeMy WebLinkAboutMortgage_Farley 0-fite,� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
f.4.` "`tr \,, FOR DEDUCTION FROM ASSESSED VALUATION
xi •j`i, iji State Form 43709(RI1 6-09) Gibson Oakland City 2020
'' -. , Prescribed by Department of Local Government Finance RECE�",'a. ;_3
Reis
INSTRUCTIONS: ^ 1 SEP 2 3 2019 File Mark
To be filed in person or by mail. 1
0
401- k Filing Dates: 1.) Real Property: Must be completed and dated in the calendar year for which the deduction is sought. F rm filed with:
Must be filed 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. County Auditor
2.) Mobile/Manufactured Home 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)
* Miranda K.Farley
Taxing District Key number/legal descripti 0... ecord number Page r
* * Lot 11,J M Cockrum, 61 1 -IS -1O4-Oa. 1.39—07.02.o tit X
Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness Is the applicant the sole
March 1,current year as of March 1,current year. unpaid as of dale of applic�on legal or equitable owner?
* $0.00 * $0.00 * $A'6��) ❑x Yes 0 No
If no,what is his/her exact share of interest? If•owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: Is the property in question: Annually Assessed
® Real Pro e ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller,
* Ruoff Mortgage Company,Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
* 1700 Magnavox Way,Suite 220, Fort Wayne, IN 46804 SEP 2 3 2020
Name of assignee or other owner or holder of mortgage
-•�fi�t.,1-�
Address of assignee(number and street, city,state,and ZIP code) � `e,
GIBSON COUNTY AuDITOR
Does applicant own property in any other In yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
0 Yes ❑ No 0 Yes 0 No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Auditor '$ -* / ` County 1 Dattcont 13day„year
I,We certify under the penalty of.*jury that the\above and foregoing information is trl nd correct and that the applicanJt�is"a resid'ent�of Indiana and
owner/contract buyer of the aforementioped property on date application is filed.
Signature(owner's full name it
Date th year)
Full resident address of applica t(number and street,ci , state,a ZIP code) (/ ..
* 311 W Vine St,Oakland City,IN 47660
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)
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant T��� l � Name of mortgagee or contract seller I/
Date fit ( n h,day,year At)
of indebte es LI 5 Taxing Distr
Key number e I de- pti o `? +o?�O- 86ff-o0. 13 it
Signature of Cou iditor/County ore
Dat n ,da y ar)
• ml 1(� •
&SO() . � ' oil
C,/ SEP 2 3 2020 L ���E®
,ECG q
Statement of Mortgage or Contract Indebtedness 2 `01�
GIBSON COUNTY AUDITOR SE� IN2011612