HomeMy WebLinkAboutMortgage_Chaudhuri .Mr "'4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
f'�-' . FOR DEDUCTION FROM ASSESSED VALUATION RECEIVED 1t'�^�7
State Form 43709(R13 i 10-15) yov\ 6Z`Z !�C2_
� •---- -'4',. Prescribed by Department of Local Governmen Finance
INSTRUCTIONS: _ _ I I _ f J U L 0 5 2022 File Mark
To be filed in person or by mail. 41�436 -4,11 Form filed with:
Filing Dates: 1) Real Property:Must b completed and dated in the calendar year for which the deduction is sought.
Must be filed or postm rked with the County Auditor or County Recorder of the county where the property is County Auditor
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.
Annlicant(owner or contract buyer-see restrictions on reverse side)
Chaudhuri,Robin Kumar
Taxing District Key number/lenal descrintion Record number Page num
Montgomery 26-17-12-202-000.566-022/OLD PLAN 39 PT e—Q t3 22
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assessment date.current year assessment date.current year date of application legal or eouitable owner?
155100.00 167850.00 218.405.00 x Yes D 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: FILED Is the property in question:Annually Assessed
x Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortoaoee or contract seller r,o.1�
Union Home Mortgage Corp JUL 0 5 L L
Address of mortoaoee or contract seller(number and street.city.state.and ZIP code) /�/I�b
8241 Dow Circle W.Strongsville.OH 44136 !�„ y.,,/ &j,.Y uD oR
Name of assignee or other owner or holder of mortgage /O,TBLtSCOerNrc�C�OUNT`f
Address of assignee(number and street.city,state.and ZIP code)
Does applicant own props ,n ny If yes.what county? What Taxing District? Has this deductio n requested If yes.state amount of deduction
other county on property for❑in Indiana? Yes No current year? Yes ❑No
• A person is not entitled to his deduction unless the person has a balance on the person's mortgage or n ract 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 th 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( nth day.year)
-,..„--,_
I I We certify under the penalty • ;rjury that the above and foregoing information is tkud and correct and that the applicant is a resident of Indiana and
own r/contract buyer 1 /entioned�• property on date application is filed.
e(owner WI ;••: Cate nth. y year)
ull resident address of aoolicant(number and street.city state.and ZIP code)
202 S Mill St..Owensville,IN 47665
Person authorized by duly executed Power of Attorney or by IC C 1.1-12-0.7 Date(month,day.year)
Address of authorized person (number and street.city.state.and ZIP code)