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HomeMy WebLinkAboutMortgage_Bodrie (2) •_ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Cpunty Township Year •,''- FOR DEDUCTION FROM ASSESSED VALUATION I I U 2(� 2022 ©�, �o� t( i, '�` State Form 43709(R14/1-20) 5 File Mark "ems.'._ :0. Prescribed by Department of Local Government Finance r r INSTRUCTIONS: Form filed with: To be e person or y mail. j� Filing Dates: Form must be completed and dated in the calendar year for which the deduction is sought. *- property be filed or postmarked with the County Auditor or County Recorder of the county where the County Auditor property is located on or before January 5 of the calendar year in which the property taxes ae first due 0 County Recorder and payable. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Jill M. Bodrie and Michael J. Bodrie Reco number Page number Taxing District ��� Key number 26-18-36-300-002.806-024/ ber Pk/5 yet 5 w , J// /4a l4.bZ-r rf, i N q1b o a �a / 4 al Assessed value of real property as of Mortgage/Contract Indebtedness urfpaid as of date of ae/I o Contract indebtedness unpaid as of lIs the ap qu table owner?sle assessment date,current year assessment date,current year pp Yes 0 No $347,653.00 If no,what is his/her exact share of interest? I If owned with someone other than spouse,indicate with whom If name on record is different than that of appl icant,indicate below: Is t property in question: Annually Assessed Real Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee contract seller Heritage Federal Credit Union Address of mortgagee or contract seller(number and street,city,state,and ZIP code) APR 2 ♦ 20?p 5388 Old State Highway 66, Newburgh, IN 47629 Name of assignee or other owner or holder of mortgage cIaSON co C. - jiL Address of assignee(number and street,city,state,and ZIP code) LINTY AUDITOR Does applicant own property in an If yes,what county? What Taxing District? Has this dedu ion been requested If yes,state amount of on property for deduction other county current year? Yes 0 No in Indiana? 0 Yes No A person is not entitled to this deduction unless the person has a balance on the person's mortgage or co ra t 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 i the basis for the deduction. COUNTY AUDITOR Deduction approved in the amount of: I 20 i 20 120 i 20 i 20 20 20 Date(month,day,yeah Signature of County Auditor L 13 pera rjury ICounty ,t b r� to I -, .1_ a, ,. INC,INC, a- Q Q • � I/We certify under the penalty of that he 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. Ute nth,day y ) ^ear Si ture-fewner's.full n tif7- r/,,.CPLP I Da-I(m P01-/GWACa Full resides ress of applicant(numX. ber and street,city,state,and ZIP code) 1495 W 1oU0 S,Haubstadt, IN 47639 (Date(month,day,year) Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Address of authorized person(number and street,city,state,and ZIP code) T,..,..•-.14.m0 few neriunr can include imprisonment tin to nw.,an.+n half veers and a fine not to exceed$10,000.