Loading...
HomeMy WebLinkAboutMortgage_Conrad "•,'.t+� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year .4 FOR DEDUCTION FROM ASSESSED VALUATION 11. State Form 43709(R11 6-09) Gibson Oakland City 2022 4,.,� o Prescribed by Department of Local Government Finance RECEIVED psis INSTRUCTIONS: n,Q'Qp, (Ott) FEB U 2 2022 File Mark To 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. Form filed with: Must be filed 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. © County Auditor 2.) Mobile/Manufactured Home 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 ❑ County Recorder deduction is sought. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer—see restrictions on reverse side) * Austin J.Conrad '2,41, IL-1-„l it** OZ""1X)e,' i'"z ) C "7 Taxing Districts 1 Key number/legal description Record n rr r P,agg�t ber �J *MARION HEIGHTS 34 rd :� [ V G Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness Is the applicant the sole March 1,current year as of March 1,current year,.^,r— unpaid as of date of application legal or equitable owner? * $0.00 *$(3:f10 f443 -37 00 *$143,355.00 El Yes 0 No if 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 l Real Property J In ally Es o e e C 1 -7) Name of mortgagee or contract seller �n Go n_' A * Ruoff Mortgage Company,Inc. "YCJI.tl pp2 Address of mortgagee or contract seller(number and street,cit f'EP 0 2022 * 1700 Magnavox Way,Suite 220, Fort Wayne,IN 46804 — Name of assignee or other owner or holder of mortgage Drawer �i �� �� 171L1e cr i L /l lsvr+t✓ Address of assignee(number and street, city,state,and ZIP co GIBBON COUNTY i oDITOR Does applicant own property in any other In yes,what cot CA rd N 0. eduction been ested on property county in Indiana? y�� for current year? 0 Yes " No I Yes ❑ No COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 20 20 20 Signature of County Audi g County , c�� Date(moral,day,y7r �) n s CS r^l� L I I We certify under the penalty of perjury that the above and foregoing information is trft�and correct and that the applicant is aesid t of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Sin reS ner'same) /� Date(month,day,year) /`j —c ��,.�-- / 01/26/2022 Full resident address of applicant(number and treet,city,state,and ZIP code) * 833 N.West Dr,Oakland City, IN 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)