HomeMy WebLinkAboutMortgage_Schwartz M '747.0 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi
c % 1, FOR DEDUCTION FROM ASSESSED VALUATION ry p Year
tilz;` State Form 43709(R14/1-20) gibson 001 2020
••• .. 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. IZI 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
•
Applicant(owner or contract buyer-see restrictions on reverse side) "`"'���
Schwartz, Michael Bryan/Dana L
Taxing District Key number/legal description Record number Page number
001 26-20-02-201-000.976-001 2020 5665
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?
60,000 IZI Yes ❑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 � 'I "ETFCU _f
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
Name of assignee or other owner or holder of mortgage DEC 9 2020
Address of assignee(number and street,city,state,and ZIP code)
t�1�,5�� r��,�g(,�ry Homo OP
Does applicant own property in any If yes,what county? What Taxing District? as is a uofionSeen 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 20 20
Signature of County Auditor �4 / 4 County I Date(month,day,year)
Vrl j Ih ...., 12/09/2020
I/We certify under the penalty of perjury that the above and foregoing information is true an orrect and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
rature(owner' full n e) Date(month,day,year)
CVO" ,(\. 12/09/2020
Full resident address of applicant(number and street,city,state,and ZIP code)
4579 S SR 57, Oland City, IN 47660
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)