HomeMy WebLinkAboutMortgage_Howard (2) �\ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
,
� ' ' FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709(R13/10-15) q Lsovi 02/ �02I
.y �ee. -i:''' Prescribed by Department of Local Government Finance
•
INSTRUCTIONS: � ' ^ , =2\- 1ti`Z< • File Mark
To be filed in person or by mail. wJ 6 k ' - Form f'ed with:
FilingDates: Real Property:Must be comp dated in th- .:lendaryear for which the deduction is sought.
1) P � g
Must be filed or postmarked with the County Audi••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)
HOWARD, MICHAEL J & BETH A
Taxing District Key number/legal description Record number Page number
26-17-01-404-000.375-022 . l-301
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of I Is the a plicant the sole
assessment date,current year assessment date,current year date of application legal or itable owner?
$89,236.73 Yes ❑ 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: I■,4:1,F.-rit.:
-test❑ion:AnnuallynuallyAssessedAssessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
JAN 21 2021
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
LNB COMMUNITY BANK
Name of assignee or other owner or holder of mortgage GIBS, C G`" �
COUNTY AUDITOR
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deducti en 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 on 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 offic tha i the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 [�` 20 20 20 20, 20 20
Signature qr \ ty A itor / r County \ r� Date m n day, e61►1
1 \` J�D SV� � ` ��j2 f
I/We certify under the penalty of perjury that the above and foregoing information is t e and correct and that the applicant s a resi ent of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
X natures a(owner's full name) I Q Date(rr�ont year)
Q
Full resident address of� -applicant
ppl'cnt(nn ber and street,city,state,end ZIP code) 12)-4/ 20
307 E MAPLE ST, OWENSVILLE, IN 47665 '
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)
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