HomeMy WebLinkAboutMortgage_Redding (2) .,..,,>� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
%� :�.�. County Township Year
: ` ---...A FOR DEDUCTION FROM ASSESSED VALUATION )
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r.=_;.Z > State Form 43709(R14/1-20) ,�
y =:‘• 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 yea or which the deduction is sought. ik County Auditor
Must be filed or postmarked with the County Auditor
Applicant(owner or contract buyer-see restrictions on reverse side)
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Taxing District Key number/legal de4Cription Record number Page number
0 21 26 .-11- o\o . ,o -a 01 , s2-o%\ ,� y 2I
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 plication legal or Oitable owner?
1 0C-D Yes ❑No
If no,what is his/her exact share of interest? If owned with so eone other than spouse,indicate with whom / \
If name on record is different than that of applicant,indicate below: Is a property in question:Annually Assessed
Real Property ❑Annually Assessed
i Mobile Home(IC 6-1.1-7)
Name of mortgagee or contras eller HD
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Address of mortgagee or contract seller(number an et,city,state,and ZIP code)
O C T 2 8 2020
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) 4iM_
GIBSON COUNTY AUDITOR
Does applicant own property in any If yes,what county? `What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes ❑No current year? ❑Yes ❑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 20 20 20 20
Signature of County Audito County Date(mont ,da,y r)
�Jo� t 2r `? 2 0
I/We certify under the pen of perju foregoing information is tr a and correct and that the applicant is resid nt of Indiana and •
owner/contract buyer of the aforeme. ' rty on date application is filed.
X Signature(owner's full name) it.
Date( onth, ay,year)
• Full resident add ess :1'id street city,state,and de)
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)
T'--- -- '----- • _.
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