HomeMy WebLinkAboutMortgage_Cross (3) MsR•:� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
(4 @ FOR DEDUCTION FROM ASSESSED VALUATION /`—' �o
�� '.. State Form 43709(R14/1-20) G ,�./soh ��
y �' Prescribed by Department of Local Government Finance i TOwns/if
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. lij.--*C,ounty Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is ❑ County Recorder
located on or before January 5 of the calendar year in which the property taxes are first due and payable.
See reverse side for additional instructions and qualifications.
Applicant(owner or o,� retract bu er-see restrictions on reverse side)
t�/r_�)C`/Y'� dOt(I e...ft)s Record number Page number
Ta mg District Key number/legal description
VOAD I wN6Wty !.-f1 -t 3 - ?Oa-O O. 0 '6o1.-0 ..7 oZel 0031
ssessed value of real property as ofmortgage/Contract indebtedness unpaid as of Mortgage rContract indebtedness unpaid as of Is the applicant the sole
A
assessment date,current year assessment date,current year date of application legal or equit le owner?
' 1 vp p 'owes ❑No ((
If no,what is his/her exact share of interest? If owned with somei(ne 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
'eal Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
E---TFC" F ILED
Address of mortgagee or contract seller(numbs In j-,�}1 C'- r
Name of assignee or other owner or holder of r ••••••
Card NO Dam NOV 4 2022
Address of assignee(number and street,city, •.• •- .
Does applicant own property in any If yes,what county? What Taxing District? Has a„. deduction be requester e ,sta artiou tior�
other county on property for C.N d/
in Indiana? ❑Yes ❑No current year? Yes ❑ ( SON COUNTY AUDITOR
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
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 Coun�Auditor County Date(month,d ear)
a61/ G 1 b se� 11(l/ 7--1-
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.
Date(month,day,year)
Signature(owner's full name)
Full resident address of applicant(number and street,city,state and ZIP code) `
6— 8 5• /pc,e/c�r- 1-lilt �. r vrt f`'
PersonTbuthorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 �' y�� I 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.