HomeMy WebLinkAboutMortgage_Naas 3 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
4
r� FOR DEDUCTION FROM ASSESSED VALUATION I, C
s.\ � State Form 43709(R13/10-15) ('J�� 1 .—0 r 00,cA ��
a.:
''' Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS:
To be filed in person or by mail. Form file with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. Count Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is y
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)
Naas, Sandra D. & Payne, Pamela K.
Taxing District Key number/legal description Record number Page number
7
Fort Branch 26-18-24-204-000.783-026 -;a, b: 3
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the
applicantequitable owner?
sle
assessment date,current year assessment date,current year date of application legal
$127,645.00 0 Yes ❑ 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 El Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller _
Mortgage Masters of Indiana, Inc. ISAOA T T �j
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 1 L L
501 N. Cross Pointe Blvd. Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
JUN 21 2022
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any , If yes,what county? hat Taxing District? Has this deduction t1e{1sP. 4d a4yes,'R atirk rtrt of deduction
-{� other county W on property for ❑-'>` SO COUNTY AUDITOR
•• in Indiana? L Yes ®No current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is recorded in the county
L., 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
Signature of County Auditor) County • Date(month,day,year)
�JC � (t/ 6 (b-a//7 6/-2//a-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.
Signature(owner's full name) \ -- Date(month,day.year)
�(�\/�CIJ"ti��..ot.� /iv C,1,0u "\-y K- .t 06/17/2022
full resident address of applicant(number and street,city,state,and ZIP code)
902 South Main Street Fort Branch Indiana 47648
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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.