HomeMy WebLinkAboutMortgage_Ashley . ^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
.Yy4/`=.,;.. > FOR DEDUCTION FROM ASSESSED VALUATION RECEIVED �� r�c-�
Lt*.. '��'1,t State Form 43709(R13110-15) FEBGibson C.-/
�; o' Prescribed by Department of Local Government Finance D 2 8 2022
File Mark
oSTRUCTIONS: � Form tiled with:
To be filed in person or by mail. �� I
Filing Dates: 1) Real Property:Must be complet d and d 'n the calendar year for which the deduction is sought. 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. ❑ 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)
Marlene L. Ashley
Key number/legal description Record Page number
Taxing District Y �--^� /C/ll'62
Oakland City 26-14-18-304-000.886-007
Assessed value of real property as of Mortgage I Contract indebtedness unpaid as of date of applicationeIContract indebtedness unpaid as of Is the applicant
pli ant the
owner?
assessment date,current year assessment date,current year
$85,914.00 El Yes 0 No
If no.what is his/her exact share of interest? If owned with someone other than spouse.indicate with whom
Is the property in question:Annually Assessed
If name on record is different than that of applicant,indicate below: ��� AnnuallyAssessed
I CI Real Property El
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Bank of England
Address of mortgagee or contract seller(number and street,city.state,and ZIP code) 'MAR 0 2 au
2008 East Morgan Ave., Evansville, IN 47711 �`/t
Name of assignee or other owner or holder of mortgage _�R�
Marlene L. Ashley Op COUNTY P►ID
wro
Address of assignee(number and street.city.state,and ZIP code) GIBS
516 S. Madison Street, Oakland City, IN 47660
Does applicant own property in any If yes,what county? What Taxing District? on this dedu do n requested If yes.state amount of deduction
other county in Indiana? ❑Yes rty for
0No 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 ct 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
/" County Date(tat,pay Y@ar)
Signature of County Auditor �� l t/`�""�i—>J\/1 3(tat,
I I We certify under the penalty of perjury that the above and foregoing information i e and correct and that the applicant is a sident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.Signature owner's lust na e) I Date(monfday.year)/
� G=. .2 S-" •3.--
Full resident address of applicant(number and street.city.state.and ZIP code)
516 S. Madison Street, Oakland City, IN 47660 Date(month,day,year)
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 I
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.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of mortgagee or contract seller
Name of applicant
Marlene L. Ashely e rip
-,-t rn
Taxing District m m
Date fited On nth. y.year) Amount of indabtadnes
(i/Q rCj�ry Oakland City co
cto tti
Key number!egal escription MAR 0 2022 ' 2? G 6 2 C=0 r
26-14-18-304-000.886-007ye f*i
County Da limiinylit,G-aZ PS v Signature of County Auditor/County Recorder��Ds V SON COUNTY AUD