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HomeMy WebLinkAboutMortgage_Truxal (3) ; ,. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year FOR DEDUCTION FROM ASSESSED VALUATION 14 f,)< t' State Form 43709 R13/10-15) 1�,�, N C, .. '�—i 11--_``ji Prescribed by Department of Local Government Finance File Mark Lo STRUCTIONS: Form.filed with: be filed in person or by mail. Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. P. 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 immediately succeeding calendar year. 0 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) Truxal, Joshua M_ Taxing District Key number/legal description Re nu bar 8 Page number Patoka 26-05-31-400-001.73e)-027 _ ��� Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole date of application legal or equitable owner? assessment date,current year assessment date,current year El Yes ❑ No $184,594.00 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 © Real Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller F"LED Ruoff Mortgage Company, Inc. Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 1700 Magnavox Wa, Suite 220, Fort Wayne, IN 46804 MAR 1 5 2019 Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) / as cc�AR f�ys remount of deduction Does applicant own property in any If yes,what county? What TaxingDistrict? on proipe�tyf ,LLL..,,,,��llj,N other county (]No current year? Yes No Indiana? ❑Yes 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 I 20 20 20 1 20 20 ` 20 County I Date(month,day,year) Signature of County Auditor 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. pate ,day, >^ Signatur wne full name)'/"�.`) I on COl(j 1 �`/ Full r dent addressof applicant(number d el.city,state,and ZIP code) !!! J 1799 North State Road 65, Princeton, IN 47670 I Date(month,day,year) Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 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.