HomeMy WebLinkAboutMortgage_Flener "%"+ qy STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
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M(:- FOR DEDUCTION FROM ASSESSED VALUATION RECEIVED Gibson OQ� 2020
State Form 43709(R14/1-20)
eels Prescribed by Department of Local Gov ent Finance DEC q o�n
L 2020 File Mark
INSTRUCTIONS: To be filed in person or by mail. e I Formr filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. Ir I 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 property taxes are first due and payable. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contra-di-buyer-see restrictions on reverse side) —- ---- ----- - --- - - - -. ' _ -_- _
Michael L.Flener
Taxing District Key number/legal description Record number Page number
O®� 26-23-06-200-000.844-009/ALTE DEUTSCHE STADT 35PT 2_0(2,0 ?
ljaiihetadt -Unit 1 "�
Assessed value of real property as of Mortgage I 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?
0.99 $126,262.00 Ig'Yes 0 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 roperty in question:Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Masters of Indiana, Inc. X
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) ,d "
501 N.Cross Pointe Blvd., Evansville, IN 47715
Name of assignee or other owner or holder of mortgage a 20'0
Mc %
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in ny If yes,what county? What Taxing District? . 11611 4:05 yc o,ytf -(,requested If yes,state amount of deduction
other county ❑ Yes No SON C' 11 es El No
in Indiana? f�B current year.
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or'.nfr. f 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 County Date m nJk,f(a year)
PA\ Gibson �Jy(� C
I/We certify under penalty o rjury that the a e an oing information is true and correct and that the applicant is a rest nt of I diana and
owner/contr.'t :'yer of the af rementioned property on date application is filed.
Signaturesamiii a(month,d year)
•
Full resident address of applicant(number and street,city,state,and ZIP code)
603 S.9th Ave., Haubstadt, 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)