HomeMy WebLinkAboutMortgage_Feagley STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
lir i FOR DEDUCTION FROM ASSESSED VALUATION
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State Form 43709(R13/10-15)
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Prescribed by Department of L cal Government finance
• \ n File Mark
INSTRUCTIONS: ` - �''�I� Z L •
To be filed in person or by mail. I�— F m ed with:
Filing Dates: 1) Real Property:Must be completed and date in the calendar year fo whi h the deduction is sought. County Auditor
Must be filed or postmarked with the County uditor 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)
Feagley, Brandyn J.
Taxing District \ number/legal description Record number Page number
Wa ' gton 0 ' 26-06-19-400-000.078-017 aoa - 3 18 ,
As ssed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is s the applicant e the e sole
assessment date,current year assessment date,current year date of application 9 equitable
$46,700.00 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 ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Farm CreditgMid-America, FLCA Address of mortgageee or contrract seller(number and street,city,state,and ZIP code) FI_LED
12501 Lakefront Place, PO Box 34390, Louisville, KY 40299
i Name of assignee or other owner or holder of mortgage
JUL 1 3 2022
Address of assignee(number and street,city,state,and ZIP code) / �
What TaxingDistrict? Has thrs 9=••- •i. >• --• et -k-z�i�•state amount of deduction
Does applicant own property in any If yes,what county? on prop¢ N �41 11NT'--A1JDITOR
other county current year? ` es LJ f`tO
in Indiana? ❑Yes I�No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or on.act 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
County Date(mont dewya
Signature of o Auditor � (� I 3
L/A- CIM
I/We certify under the penalty of perjury that the above and foregoing information is tru and correct and that the applicant is reside t of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Date(month,day,year)
Signature(owner's full na e) / 07/08/2022
6 �/ ��G
Full residerraddress of applica n ber and street,city,state,and ZIP code)
6296 E 500 N Francisco, IN 47649 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)
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