HomeMy WebLinkAboutMortgage_Schleter (4) .M 1Te, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
�`' ,;,:� FOR DEDUCTION FROM ASSESSED VALUATION
"' 7''t` " State Form 43709(R14/1-20) G'son 024 2020
,,,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. WI 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 properly 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)
Schleter, Robert L/Danielle R
Taxing District Key number/legal description Record number Page number
024 26-23-16-200-002.484-024 2020 _2291') ()1.,
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?
$ 0,000 EZYes ❑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
Elberfield State Bank
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) I 1111
Name of assignee or other owner or holder of mortgage �.J
NOV 19 2020
Address of assignee(number and street,city,state,and ZIP code)
ri
Does applicant own property in any If yes,what county? That Taxing District? Has this d e r ed s,state amount of deduction
other county r�G/�j U MITu
in Indiana? ['Yes ❑No U r'o
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 2J0 20 20 20 20
Signature of County Audi r County Date(month,day,year)
S 11/19/2020
I/We certify un er th penalty of perjury that th oregoing information is true a d correct and that the applicant is a resident of Indiana and
owner/c_ontract buyer of the of f ed property on date application is filed.
•Si ature(owner's f name) Date(month,day,yeah
11/19/2020
Full resident address of applicant(number and street,city,state,and ZIP code)
1692 E Autumn Ridge , Haub, IN 47639
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)