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HomeMy WebLinkAboutMortgage_Alvey 1 �, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownshipYear -2 FOR DEDUCTION FROM ASSESSED VALUATION ._vAt - 0 it ��n O2(i202o - .L + State Form 43709(R14/1-20) r' Prescribed by Department of Local Government Finance File Mark INSTRUCTIONS: To be filed in person or by mail. Form filed with: Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 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( wrl or contract buye�strictions on reve�s�side) \I InaVA\ w C_revel }) Taxing Key umb legal de cripti Re rd nu er P n b r Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortg e/Contract indebtedness unpaid as of Is the a plicant the sole assessment date,current year assessment date,current year dat aptrcca>Von legal or able owner? I �}4))O© Yes No If no,what is his/her exact share of interest? If owned with someone othc+r than spouse,indicate with whom If name on record is different than that of applicant,indicate below: I e property in question:Annually Assessed Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contractTCIA sellerI' • Address of mortgagee seller(number and street,city,state,and ZIP code) �II� I� Name of assignee or other owner or holder of mortgage OCT 1 3 2020 Address of assignee(number and street,city,state,and ZIP code) Does applicant own property in any If yes,what county? What Taxing District. �jKi .uction been requested If yes,state amount of deduction other county in Indiana? Ill Yes III No GIBSON CO oNr-rt{y9Dlloes ❑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 0 20 20 20 20 20 Signature of County Audit County k Date(mont ,day, ear) n^ AM CA �a� IQ) l2 ?.�YV . I/We certify under penalty of perjury a the above and foregoing information is tru d correct and that the applicant is resid nt of Indiana and owner/contract buyer of the aforementioned property on date application is filed. gna re(owner's full name) 'Date(month, ye r) it` Il3020 , y,to F�II resident address of applicant number and let,city,stat ,and Z�� �� ��V 1 J S & u� c1 )1, Person authorized by duly executed Power of Attorney dby IC 6-1.1-12-0.7 Date(month,day,year) Address of authorized person (number and street,city,state,and ZIP code)