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HomeMy WebLinkAboutMortgage_Mallory (2) ,4.-- *,h„ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year 4 FOR DEDUCTION FROM ASSESSED VALUATION st, ` 1 State Form 43709(R14/1-20) Gson 009 2021 % =rd' Prescribed by Department of Local Gov rnment Finance (^ c v, ()3 I'lq 2lti. (LK a netts,G�c. 1.5 File Mark INSTRUCTIONS: To be filed in person or by mail. ��r� l(t },;„t e —t(, *, Form filed with: Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 66 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 perty taxes are first due a^n�d payable. El County Recorder See reverse side for additional instructions and qualifications. " Ovn . , _ 2( f 2 / Applicant(owner or contract buyer-see restrictions on reverse side) V Mark Mallory/Mackenzie Graves Taxing District Key number/legal description Record number Page number 009 26-19-31-303-000.010-009 2021 4523 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? AV 0 Wil ©No If no,what is his/her exact share of interest? F T If o Elt 51F one other than spouse,indicate with whom If name on record is different than that of applicant,indicate below: J w N O 3 2022 Is the property in question:Annually Assessed /�, ®Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller 4'l2 44-,244 L,.,. ,y -' Stewart Armstrong ��/RS�ON COUNTY AUDITOR Address of mortgagee or contract seller(number and street,city,state,and ZIP code) Name of assignee or other owner or holder of mortgage It /\, CJ NT 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 deduction been requested If yes,state amount of deduction othe cunty on property for n Inrdianao ? CI 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 County Date(month,day,year) I\AW nS Gson 1/3/2022 I/We certify under the penalØrjury 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 aforementionedk prope on date application is filed. Signature( full name) Date(mo th, y year) < 5t s 7a Zr Full resident address of ap� (nu ber and str`t,city,state,and ZIP c e) 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) — _..___s.,.....,.-..,n.ran inrt,,da imnnor,nms,nd.,..�,,fi...,-,.,,.a., s,..s..____ , - . . ._._ _--