Loading...
HomeMy WebLinkAboutMortgage_Curry (4) -0s^•Ek , STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS a County Township Year 7 �t FOR DEDUCTION FROM ASSESSED VALUATION ¢ State Form 43709(R14/1-20) s / �"o h n^ � e Prescribed by Department of Local Government Finance t Ser\ �� 2.077 File Mark INSTRUCTIONS: To be filed in person or by mail. Form filed with: Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. County Auditor Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is located on or before January 5 of the calendar year in which the property taxes are first due and payable. ❑ County Recorder See reverse side for additional instructions and qualifications. A plicant(owner or contract buyer-see restrictions on revs a side) n.' c± d- --e—CAn_ U " . Taxing DistrictO2,14 Keynumber/legal descriptioni, ©y y _Da number Page number /��1 I8 J 3 ° 00 4. ZZ 3S3(/ 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 „c1 legal or equitable owner? 1 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 perry in question:Annually Assessed eal Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller c Address o mortgagee or contract seller(number and street,city,state,and ZIP code) . F 1 T F.:D Name of assignee or other owner or holder of mortgage /y,/ AUG 3 Address of assignee(number and street,city,state,and ZIP code) 202` Doeof es applicant own property in any If yes,what county? What Taxing District? Has this d�{� ,"F140y a to ff�y(es,state amount of deduction in Indiana?y ❑Yes ❑No current year. NI 9u/�,l`i A person is not entitled to this deduction unless the person has a balance on the person's mortgage or ont :ct indebtedness th !s recorded in the county recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that s 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) `l'-i vim-0-LA t % �10�-� & �,` 1 g -.. . Z.C2' 1/We certify under the penalty of perjury that the above and fore ing inf ation 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. Si nature(owner's full name) Date month,day,year -3 - © ate - Full 3resident addressadr of applicant(number and street,city,state,and ZIZI^P-code) ���` �' Person authorized by�executed P Power of Attorney olby IC 6-1.1-12-0.7 Date(month,day,year) Address of authorized person (number and street,city,state,and ZIP code) "' -`--^---^•^•r•..,include imorisnnm=nl nn to two and a half years and a fin,.not to,.r.-,.,.rl.cm t1 non.