HomeMy WebLinkAboutMortgage_Alden (2) 0-„2.4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownshipYear
j FOR DEDUCTION FROM ASSESSED VALUATION
itt� ` Ly I. State Form 43709(R14/1-20) Gibson Princeton 2020
--io 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. IZI 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)
Martin & Lura Joan Alden
Taxing District r Key number/legal description Record number Page number
Patoka Township 26-12-19-400-003.773-027 2020 '3q`7
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?
$ 30,000 Ii7JYes ❑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
VI Real Pro ❑Annually Assessed
Name of mortgagee or contract seller
t`r obile Home(IC 6-1.1-7)
Fifth Third Bank
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
OCT -4671)
Name of assignee or other owner or holder of mortgage a a
Address of assignee(number and street,city,state,and ZIP code) OIV C O
LL
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested If yes, atq jnount of deduction
other county on property for
in Indiana? III Yes ®No current year? I Yes ❑No STD
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
Signat re of County Auditor County Date irth,,lay r)�Gibson I
1/We certifyunder the penaltyof perjurythat th abo��oin information is true and correct and that the applicant is a residen�of Indiana and
foregoing PP
owner/contract buyer of the aforementioned property on date application is filed.
Sig ; re( ner's full name) am.,
Date(month,day,year)
10/13/2020
is(
u I resident address of a scant(number and street,city,state,and ZIP code)
84 E 200 S., Princeton, 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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.
,iiiii2:4
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDE
Name of applicant Name of mortgagee or contra lerl� -
Martin & Lura Joan Alden 5/3 Bank
�Otis
Date filed(month,day,year) Amount of indebtedness Ta ' g District ,
10/13/2020 $ 30,000 Pat �Fownsh'e
Key number/legal description Q /�.1 JO\"�O�
26-12-19-400-003.773-027 • A.. .4 P
Si ature of County Auditor/County corder v County ...);3O,:• th,day,year)
Gibson
G 10/13/2020
pp w