HomeMy WebLinkAboutMortgage_Poff-Mcdole gl""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
`$ FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709(R11 6-09) Gibson Oakland City 2022
to; .„„* Prescribed by Department of Local Government Finance
y it
INSTRUCTIONS: 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. Q 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 L.J County Recorder
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side) 2
* Mary G.Poff-Mcdole rZ(J--I G(--- / 5 - J
-7,0 i -O00. l `O0 1
T.axin Di trict Key number/legal description Record number Page number
* e1+1 *HARDEN ADD#2 15 l-62 5/ *
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. unpaid as of date of application legal or equitable owner?
* $0.00 *$0%4 0�-I (1C)O 00 *$104,900.00 El Yes 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 the property in question: Annually Assessed
0 Real Property ❑ Annually Assessed
FILEn;(IC 6-1.1-7)
Name of mortgagee or contract seller
* Navy Federal Credit Union
Address of mortgagee or contract seller(number and street, city,state,and ZIP code)
* PO Box 3326,Merrifield,VA 22119 FEB �yq
Name of assignee or other owner or holder of mortgage �' GYLL
Address of assignee(number and street, city, state,and ZIP code) tom_ ` '
Does applicant own property in any other In yes,what county? What Taxing District? F61014194MMOCIMAMAL on property
county in Indiana? � for current year?
iJ
0 Yes No Yes 0 No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signatur of Co_urtty ditor _ r County •\ � Date mq,th,�a ,_year)
�1� �'W Nam'' 1 1 ri ,/ �a
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.
Siynaterl n tiaDate(month,day,year)
Full resident dress of a .licant(number and street, city,state,and ZIP code)
* 823 N.Polk 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)