HomeMy WebLinkAboutMortgage_Hillenbrand ...�*r,,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
f` ` � FOR DEDUCTION FROM ASSESSED VALUATION //_ 11_ O��l ��
State Form 43709(R13/10-15) V (CJson C(4--3
Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: Form filed with:
To be filed in person or by mail.
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. �ounty 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 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)
Hillenbrand, Christopher Ryan & Jennifer Marie number Page number
Taxing District Key number/legal description _7 Record num%ber
Oakland City 26-14-18-304-000.280-007 ^7 E3
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of date f Mortgage/ Tact indebtedness unpaid as of Is s the applicant
epli as t the e sole
er?
assessment date,current year assessment date,current year
$147,283.00 ElYes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
Is the property in question:Annually Assessed
If name on record is different than that of applicant,indicate below: El Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller FILED
Mortgage Masters of Indiana, Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
501 N. Cross Pointe Blvd., Evansville, IN 47715 OCT 1 8 2022
Name of assignee or other owner or holder of mortgage /� 22 1
Address of assignee(number and street,city,state,and ZIP code) rr%11'1 a_ �L.�ftd/
Does applicant own property.n any If yes,what county? What Taxing District? oHas n property deduction been requesCCt7ii�l s�s�isi ToYir>Ad Fikkieit$n
�� other county ❑Yes MD o current year? ❑Yes ❑No
in Indiana?
A person is not entitled t•this deduction unless the person has a balance on the person's mortgage or contract 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 is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20
20 I 20 I 20 20 I 20
���County ` Date(month,day,}yeart
Signature of County uditor ry IC�� r S o / d — ( c� -��
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 pr pert n date ap lication is filed. I Date(month,day.year
Sig eat e. ner'sfull ame) O tie01 10/14/2022
•
C ull resident dress of app. nt(nu er and street,city,state,and ZIP code)
219 South Jackson Street, Oakland City, IN 66 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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.