HomeMy WebLinkAboutMortgage_Julian (5) sak� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
.i�._ FOR DEDUCTION FROM ASSESSED VALUATION
-? ; �, State Form 43709(R14/1-20) gson 027 2020
'K,eme 1. 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. lZI 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)
Julian, Larry R/Rebecca J
Taxing District Key number/legal description Record number Page number
027 26-12-16-200-001.619-027 2020 5043
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?
144,500 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 --/
Quicken Loans T
IL" Ei
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) r 1
Name of assignee or other owner or holder of mortgage DEC C 1 0 2020
jitia.cowti
Address of assignee(number and street,city,state,and ZIP code)
,.n,I ,rry I Ijr1ITOR
Does applicant own property in any If yes,what county? What Taxing District? G I B"FtdNhisr de3`uction been requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes ❑No current year? 0 Yes LI 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 o o d'o County kDate(month,day,year)
C &50V1 12/10/2020
.-Z.
I/We certify under the penalty of perjury that the above and foregoing information iand correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
x\ Si nature owner's full name) Date(month,day,year)
af"A � 1 12/10/2020
Full resident addr f appcnt(number and street,city,state,and ZIP code)
2401 E Tophat Rd, P'ton IN
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)
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