HomeMy WebLinkAboutMortgage_Hyneman .Mm,*F�, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownshipYear
7'�% FOR DEDUCT,ION FROM ASSESSED VALUATION
�\-.. '_fit l� State Form 43709(R13/10-15) /� 10
%" Prescribed by Department of Local Government Fi nce q�� O�v
Ivi. V
INSTRUCTIONS: File Mark
To be filed in person or by mail. T .eL" ��, F, r iledwith:
Filing Dates: 1) Real Property:Must be completed and dated in th alendar year for which the deduction is sought.
Must be filed or postmarked with the County Audito or County Recorder of the county where the property is County Auditor
located on or before January 5 of the immediately succeeding calendar year. 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)
Hyneman, Justin M & Abby I
Taxing District Key number/legal description Recprati nu ber Pag n ber
Patoka 26-12-07-203-000.370-028 odod0 .
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?
180,000 E] 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
✓❑ Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller .- g.a
Heritage Federal Credit Union FI
Address of mortgagee or contract seller(number and street city,state,and ZIP code) • --- .+ '
5388 Old State Hwy 66, Newburgh, IN 47630
Name of assignee or other owner or holder of mortgage 0 C T 2 0 2020
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property imany If yes,what county? What Taxing District? Has this&earl)NeEmiltvcV IIe�•stet mount of deduction
other county on property for i
in Indiana? 111 Yes No current year? ❑Yes ❑No
A person is not entitled to I eduction 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
Signature of County Auditor ,, Ca County \ Date(month,d y,year) W 1,0
,liom,v___\.1(\I/We certify under the penalty of perjury that the above and foregoing information is a and correct and that the applicant is a r sident of ndiana and
owner/contract buyer of the aforementioned property on ate application is filed.
Si. r caner full n e) — Date(month,day,year)
�i �' I' ��� � ,. 7 10/14/2020
Fu resident address.f applicant(nu ber and street,city,st e, d ZIP code)
319 E. State St., Princeton, IN 4 0
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)
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