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Home My WebLink AboutMortgage_Robbins M .. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year O/-•,y . FOR DEDUCTION FROM ASSESSED VALUATION $'> 6 S State Form 43709(R13!10-15) Q\C 1 =\V\I ' Prescribed by Departme Local Gove nment Finance JQ V OcJ��r1� ,V •816 t1 INSTRUCTIONS: ` ,\ G 1 File Mark To be filed in person or by mail w F-rm f-•with: Filing Dates: 1) Real Property:Must be completed an dated in the(c�r a year for which the deduction is sought. l Must be filed or postmarked with the County Auditor or unty Recorder of the county where the property is 'Al County Auditor located on or before January 5 of the immediately succeeding calendar year. li 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) Matthew obbins acid Tara Robbins, husband and wife Taxing District Keynumber!legal description R rd ryy�b Pa e b Patoka 0226-05-40-188-004.117-027v • Assessed value of re roperty as of Mortgage i Co r b l dness.np id•• Mortgage/Contract indebtedness unpaid as of Is the appr nt the sole assessment date,current year assessment da re urr t y'r date of application legal or equitable owner? t, s aaa_ A $320,000.00 1 Yes 0 No If no,what is his!her exact share of interest? If owned with someone other than spouse,indicate with whom OFC 16 2020 If name on record Is different than that of applicant,indicate below: Is the property in question:Annually Assessed © Real Property 0 Annually Assessed • Mobile Home(IC 6-1.1-7) Name of mort agee or contract seller • • ••;'. .A)AVI6 et,,L. OMR_C9sU ii YNE:FITLIO_R/ Ad ress of mortgagee or contract seller(number and street city,state,and ZIP code) Q__ _ _6 -ki .n. 71) (. �nm , .-( Li ame of assignee or o er o ner or holder pf mortgage Address of assignee(number and street,city,state,and ZIP code) Does applicant own property in any If yes,what county? What Taxing District? Has this deductio en requested If yes,state amount of deduction other county on property for in Indiana? ❑Yes I]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 ont 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's the basis for the deduction. COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 20 20 20 Signature of County Audi , County 1 Date( nth, a,yea �(1f11 .5�� rlc ry\ - � ° (7/��•J I I We certify under the penalty of perjury that the above and foregoing information is true a d correct and that the applicant is a resident of Indiana and owner!contract buyer of the aforementioned property on date application is filed. Signal a(owner' full name) Date(month,day,year) � �>L - ��-- ��• 09/18/2020 Full esf ident'address of applicant(number and street,city,state,and ZIP code) 2500 N Tower LN, 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)