HomeMy WebLinkAboutMortgage_Mechling ki,-,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
�4s FOR DEDUCTION FROM ASSESSED VALUATION _
s� i) State Form 43709(R11 6-09) RECF1VpD Gibson ,_sir+ceti`-n 2022
�q,,, j Prescribed by Department of Local Government Finance ,o
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INSTRUCTIONS: ( �\/ \ File Mark
To be filed in person or by mail. ►►►►����-����`"""'���\
Filing Dates: 1.) Real Property: Must be completed and dated in the en r year for which the deduction is sought. Form filed with:
Must be filed with the County Auditor or County Recorder he county where the property is located
on or before January 5 of the immediately succeeding calendar year. 0 County Auditor
2.) Mobile/Manufactured Home not assessed as real Property: Must file with the County Auditor of the County Recorder
county where the property is located during the twelve(12)months before March 31 of each year the
1-1 deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side), �� L�
* Thomas Mechling Ztd— I( "-1(D - ZoeCJ---��(Ju. ZS
Taxing District p� Key number/legal description Recor number Page number
(r, °c:��1lll *PT SW NE 16 2 11 1.21 AC * G,2" */Ca
Assessed value oT 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 *1070O .Z 3't Z(i'cc•CO *$236,265.00 0 Yes El 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
Name of mortgagee or contract seller
I L E DMobile Home(IC 6-1.1-7)
* American Financial Resources, Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 1 9 2022
* 9 Sylvan Way,Parsippany,NJ APR
Name of assignee or other owner or holder of mortgage 144
1724cluzzi a.
Address of assignee(number and street, city, state, and ZIP code) rtgSON COUNTY AUDITOR
Does applicant own property in any other In yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
❑ Yes All No Yes 0 No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Audito�nly�`�lJ`'�" `r' County SO Date IrreeliFlatcrt-
..5(na1llt1 of er u that the abo foregoing information is tr� {,nd correct and that the appliccanis a rsident of Indiana and
I/We certify under the penalty perjury ry `CJ'
owner/contract buyer of the aforementioned property on date application is filed.
Signature(owner•'s1uILname) Date(month, day,year)
/ 04/06/2022 c
Full reside ss of applicant(number and street,city, state, and ZIP code)
' 777 re380 W, Princeton, IN 47670
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)