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HomeMy WebLinkAboutMortgage_Hess �rt;.�, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year a • `' \s FOR DEDUCTION FROM ASSESSED VALUATION ` r,; lij; e lm e .`� SOn C`�Q 0'� � State Form 43709(R13/10-15) �J�-11 °�io. Prescribed byDepartment f Local Government Finance 0 r`eie P �j q q INSTRUCTIONS: • DEC 2.3 2020 File Mark To be filed in person or by mail. 1 �� \ 1 � F rm filed with: Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is County Auditor located on or before January 5 of the immediately succeeding calendar year. 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) Hess, Joshua D. Taxing District Key number/legal description nu ber Page umbe Johnson 26-19-31-304-000.469.009 �4 Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the app cant the sole assessment date,current year assessment date,current year date of application legal uitable owner? IStPrpp©,a7 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 property in question:Annually Assessed J Real Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller JT� Mortgage Masters of Indiana, Inc. ISAOA ? _, IE'�1,I A. Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 501 N Cross Pointe Blvd Evansville, IN 47715 DEC 2020 Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) °n Does applicant own property in any If yes,what county? What Taxing District? Hatlii5�e8u e€rti F�gSe§tbtt` Itsstate 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 c nt t 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) hat i the basis for the deduction. COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 20 20 20 Signature of County Auditor , Coun Date month,j r) ii�1,nl—\ o� 2 `�\ he a licant is a esident Indiana and in information\ �H'ue and correct and that t PP I/We certify under the penalty of perjury that the abo�f rego g owner/contract buyer of the aforementioned property on ate application is filed. 'gnature(o ,:is full nam Date(month,day,year) i l—3-a0a® Fu) Ilrad dress of applicant(number and street,city,state,and ZIP code) 1 i•• S Fourth 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) - , r.. .,,e.,l.,,..f.,hern anrd a half,, are and a fine not to exceed. 10.000.