HomeMy WebLinkAboutMortgage_Hedges )is-
CountyTownshipYear
.4"''4 FOR DEDUCTION FROM ASSESSED VALUATION
��1 State Form 43709(R14/1-20) Gibson 0 Z b 2020
°�-.916-%s 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. RI 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 instruction and qualifications.
Applic (ow r or contract buyer-set r rictions on rev se side L � C/ �j,7C/�/ y�
Qaxi stn / nu ber/le al description Pt]
" ,Page number
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/C tract indebtedness unpaid as off ...e a.pli-:nt t'-sole
assessment date,current year assessment date,current year date pp tion q lega'.•-. itab,owner?.
7 ! OV ►i` e"s` ❑No':
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whor2020
If name on record is different than that of applicant,indicate below: GIs a. • 'on: nually Assessed
-eaI nua ssessed
)',q obile Home(IC 6-1.1-7)
Name of mortgagee or contract seller /1fC2t1 a)OTO�
[fro
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) L
Name of assignee or other ownerof,
o !`0 , - 2,/
4.2. _. --- d�
Address of assignee(number an.streeit state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction n requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes ❑No current year? s ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c ntract 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 20 420 20 20 20 20
Signature of y Auditor Cc —
I❑alaImnnih_day_veal--
/We certify under the penalty of perjufy that the above and foregoing informati U Indiana and
owner/contract buyer of the aforementioned property on date application is file
Signature(o ne full name) '' Drawer NO •
lit.)
Full resident address o applicant(number and street,city,state,and ZIP code)
..f....
rAi Card NO.
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7/ -___ ,_- -
Address of authorized person (number and street,city,state,and ZIP code)
The nenaltiec for nerii,ni ran inrlurle imnricnnment nn In hvn and a half vearc and a fine not In exneed. in nnn