HomeMy WebLinkAboutMortgage_Margerison , ;-:,:}o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township t Year
YAK f, , FOR DEDUCTION FROM ASSESSED VALUATION GI ID Joh `�c,nLe(v✓ll ��
1lX�r State Form 43709(R13/10-15)
\ ='�, Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: Form filed with:
To be filed in person or by mail. C
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 i ounty Recorder
located on or before January 5 of the immediately succeeding calendar year
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.
Annlirant(owner or contract hover-see restrictions on reverse side)
Margerison,Daniel and Amanda I nurnbe I
cord
Taxing District
Key number/lanai rlescri nfion I Renum r Pa 5`Ela r
Princeton 26-12-07-304-002.542-028/WILLIAMS 2ND ADD 6
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of I Iegal or eplica bt lt owner,
assessment date.current year date of aoolicalion
assessment date.current year 235.653.00 x Yes ❑ No
191300.00 125.266.00
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: x Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortnaoee or contract seller
Equity Prime Mortages or e.LLCFILED
Address of mortgagee or contract seller(number and street.city.state.and ZIP code)
PO Box 1194.Sorinefield.OH 45501-1194
Name of assignee or other owner or holder of mortgage DEC 2 7 2022
Address of assignee(number and street.city.state.and ZIP code)
Does applicant own property in a If yes,what county? I What Taxing District? Has this I on property dedfooetion bee r et€I eig4idgf deduction
otin In current year? ❑Y6taJB�$16 OUNTY AUDITOR
in Indiana?
iana? ❑Yes o
A person is not entitl 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 20
l / I County Date(month.day.year)
Signature of County Auditor /tv/ ./ f s $ ..‘ t /'��/ 2
I/Wejw`crAterrtti`fyfy 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.
..,Zeire(owne s full na t month.day.year)�7 J�
y I —s /�L
Full resi .nt dress o onlirant(number and street city.state and 7IP rode)
118 E onroe,Princeton,IN 47670 Date(month.day year)
Person authorized by duly executed Power of Attomey or by IC 6-1.1-12-0.7
Address of authorized person (number and street.city.state,and ZIP code)
The oenalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.