HomeMy WebLinkAboutMortgage_Maikranz (3) .0"-may STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
.- — ' FOR DEDUCTION FROM ASSESSED VALUATION
4
i' Gibson 0 Q3 2020
State Form 43709(R14/1-20) RECE�'�ED
4 aie Prescribed by Department of Local Gover ment Finance
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INSTRUCTIONS: To be filed in person or by mail. DEC 3 01010 File Mark
Foorm filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. Q 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. ❑ County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Joshua H. Maikranz and Jessica L. Maikranz
Taxing District Key number/legal description Record number^ Pane number
O na•or d City '�Ck 26-20-02-404-000.072-003/PT SE SE 2 3 9 1.67 AC D-8 � Z43 ' SgQ9
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?
$0.00 $128,500.00 XYes 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 he property in question:Annually Assessed
Real Property ❑ Annually Assessed
F IT .
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Heritage Federal Credit Union DEC 12020
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
5388 Old State Road 66, Newburgh, IN 47630
Name of assignee or other owner or holder of mortgage )jJ/'/�Q� �!
Address of assignee(number and street,city,state,and ZIP code) GIBSON CoUIJ 1._y. :.,.--•; :ra
Does applicant own property in.any If yes,what county? What Taxing District? Has this deductio n requested If yes,state amount of deduction
other county on property for, i
in Indiana? El Yes o current year? YS ❑ NO
A person is not entitled to this deduction unless the person has a balance on the person's mortgage o con 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)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 Da (m4gt , y,year
1�) Gibson 1� �}�'
I I We certify under penalty of perjury that the above an Ong 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) ` 1�`\ '�� Date(mi ,d ,yJ
Full resi nt address of applicant(number an treet,city,state,and ZIP c e
10438 E. Main St., Oakland City, I 47660
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 S10,000.