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HomeMy WebLinkAboutMortgage_Negron (2) <0 F144, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year 7�., . FOR DEDUCTION FROM ASSESSED VALUATION 1 C� p- ..,:.- It i State Form 43709(R13/10-15) B301) ©�-1 ci 10 '�``,,.....„ Prescribed by Department of Local Government Finance �/1 �eie INSTRUCTIONS: File Mark To be filed in person or by mail. Form filed with: Filing Dates: 1) Real Property:Must be completed 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 X County Auditor located on or before January 5 of the immediately succeeding calendar year. 0 County 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) Negron, Pamela A. & Michael T. Taxing District Key number/legal description Record nun)b�r n Page number Princeton 26-12-07-103-001.593-028 uO'-7-3" / 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 legal or equitable owner? 146,464 P 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 property in question:Annually Assessed 0 Real Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Mortgage Masters of Indiana, Inc. Address of mortgagee or contract seller(number and street,city,state,and ZIP code) FILE , 501 N Cross Pointe Blvd Evansville, IN 47715 Name of assignee or other owner or holder of mortgage SFP 242020 Address of assignee(number and street,city,state,and ZIP code) Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested If s f eduction other county on property for NgRSON COUNTY AUDITOR in Indiana? ❑Yes No current ear? ❑ ❑Yes A person is not entitled to his 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 Signs r f County ditor County Date( onth,day,year) c...41CLOs . 9•z4-a.oz0 e certify unde h penalty of perju a the above and foregoing information its true and correct and that the applicant is a resident of Indiana and own /contract buyer of the aforeme d property on date application is filed. Sin re(owner's ull name / Date(month,day,year) )4 ,i�` A 9/21/2020 Ful r sident address of applicant(numb r nd street,city,state,and ZIP code) 321 N Hall St Princeto , IN 47670 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) ae.enalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.