Loading...
HomeMy WebLinkAboutMortgage_Hering Me`r"+c STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year ill'' . w� , R FOR DEDUCTION FROM ASSESSED VALUATION /7 a\_ ..•`t'+ State Form 43709(R14 t 1-20) Gibson (j !/�)� . ,,_ '' Prescribed byDepartment of Local Gove ment Finance �J A r File Mark INSTRUCTIONS: To be filed in person or by mail. ,[v,,,`Act; 11) Form filed with: Filing Date: Form must be completed and dated in the calen r year for w ich the ded ion is sought. m County Auditor Must be filed or postmarked with the County Auditor or Coun Recorder of a 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. 0 County Recorder See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Richard A. Hering and Melissa D. Hering, husband and wife Taxib-L-9- trict Ke nu er/legal description Record tuber Page n ber - 12-!rU)--��'ao 0. f'l t�2 - , 2 0 51 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? $100,000.00 0Yes ❑No If no,what is his I 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: h rty in question:Annually Assessed F T 1,,i ; !Mil_ R•al " •perty ❑AnnuallyAssessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller German American Bank DEC 6 �0�0 Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 711 Main St., Jasper, IN 47546 Name of assignee or other owner or holder of mortgage n Address of assignee(number and street,city,state,and ZIP code) GIQSOPI COUNTY AUDITOR Does applicant own property in any If yes,what county? What Taxing District? Has this deductio ben requested If yes,state amount of deduction other county on property for in Indiana? ❑Yes 0 No current year? Yes 0 No A person is not entitled to this deduction unless the person has a balance on the person's mortgage or nt ct 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 `1 County \ Date(moll dayt year) �t)-^, ‘._son \2 �c '1,o2-O. I I We certify under the p alty of perjury tha ove and foregoing information is tru and correct and that the applicant i a resijent of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Signature(owner's full name) Date(month,day,year) A )4,, /. �iL�© . �,Q . 11/03/2020 Full resident address of app scant(number6r'd street,city,state,and ZIP code) 1257 E 150 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)