HomeMy WebLinkAboutMortgage_Satterfield (2) �,�,e STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
'•*: FOR DEDUCTION FROM ASSESSED VALUATION
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\„;...,:4,j State Form 43709(R14/1-20) Gibson Johnson 2020
6 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. 12:1County 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. ❑ County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Charles & Mary Satterfield
Taxing District Key number/legal description Record number Page number
Patoka Township 26-05-31-400-002.220-027 aoao -'isc)93
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 00 legal or equitable owner?
$ '33 . DO . — zYes ❑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: pir Is the property in question:Annually Assessed
�+r Real Property ❑Annually Assessed
l Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller l i
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) d®2
020
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Name of assignee or other owner or holder of mortgage
ft/A
Address of assignee(number and street,city,state,and ZIP code) 'Ulf ITV LI
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been 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 1 County Date(month,day,year)
X-v J_ ./ Gibson 12/30/2020
I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(owner's-full name {w; ` •t, i Date(month,day,year)
)(' `° 12/30/2020
�! 't V (A9fL
Full reside t ad s of app icant(numb 7 and street,city,state,and ZIP code)
1528 N Hurst Cir-, Princeton, IN 47670
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year)
Address of authorized persbn,.;(nurriber.and street;city,state,and ZIP code)
The penalties for perjury can include imprisonment up to two„andfa half:years anda fine not to exceed$10,000.
•
RECEIPT FOR FILING STATEMENT.OP +OR'rAGE OR CONTRACT INDEBTEDNESS
Name of applicant 13ine of mortgagee or contract seller
Charles & Mary Satterfield 13,—dl.
t e QDate filed(month,day,year) A uebtedness Taxing District
12/30/2020 C Qi 2 �3a ,— Patoka Township
Key number/legal description U
26-05-31-400-002.220-027
Sig re of County Auditor/C my Recorder ����t„..,,,v_ I � 0� Date(month,day,year)
o�0.0-( ibson 12/30/2020
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