HomeMy WebLinkAboutMortgage_Schneider o "1P STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
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FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709(R14/1-20) Gibson Ft Branch 2020
' «'.s Prescribed by Departmen of Local Government Finance RECEIVED
�_ File Mark
INSTRUCTIONS: �� DEC 2 8 2020 Form filed with:
To be filed in person or by mail.
Filing Dates:1)Real Property:Must be co fed and dated in the calendar year for which the deduction is sought. County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the ❑ County Recorder
property is located on or before January 5 of the immediately succeeding calendar year.
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)
Aaron J Schneider,Jessica L Schneider
Taxing District Key number/legal description R�co^rd umber Pgge uur}�bQr
Ft Branch 26-18-24-202-000.491-026 htJ) c "�t—�V
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 le I or equitable owner?
62,700.00 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 t'epproperty in question:Annually Assessed
Name of mortgagee or contract seller F IL
Ir.�Rdal Property 0 Annually Assessed
ii? Mobile Home(IC 6-1.1-7)
Mortgage Masters of Indiana, c9
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) DEC 03 2020
501 N. Cross Pointe Blvd, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage r --
p.
'. J,,I,' _
Address of assignee(number and street,city,state,and ZIP code) G%BSON COUNT i )a�r .1�, /�
Does applicant own property in y If yes,what county? What Taxing District? - •- Has this deduct: teen 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 his deduction unless the person has a balance on the person's mortgage or n act 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 tha 's the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 1,
20 20 20 20 20 20
Signature of County Audi�� c County 1 Date(moot ,,day}S�ge r
a3...-crn2 hU •I/We certify under the penalty of pe__W\r a above and foregoing information iand correct and that the applic nt is resident of Indiana and
owner/contract buyer o he forementioned property on date application is filed. `
iratur ners full n e /C � � j_21...‘ ,y(-
Date(month,day,year)
12/21/20
Full r dent add s appicant(number and street,city,state,and ZIP code)
00 S umberland St, Fort Branch, IN, 47648
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)
•
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000. 47016