Blank Indiana 43709 PDF Template
The Indiana 43709 form, officially titled the Statement of Mortgage or Contract Indebtedness for Deduction from Assessed Valuation, serves an important purpose for property owners in the state. This form is designed to help individuals claim a deduction from their property’s assessed value based on the amount of mortgage or contract indebtedness they hold. It must be filed with the County Auditor in the county where the property is located, either in person or by mail. Specific filing dates apply, with real property filings accepted during the twelve months leading up to May 11 of the effective year, while mobile homes have a narrower window from January 15 to March 2. Applicants must provide detailed information about their property, including assessed value, mortgage amounts, and ownership status. The form also requires signatures from both the applicant and the County Auditor, affirming the accuracy of the information provided. This deduction can significantly impact the property tax burden, making it essential for eligible Indiana residents to understand the form's requirements and deadlines.
Form Sample
STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R5 /
Prescribed by Department of Local Government Finance
County
Township
Year
INSTRUCTIONS:
To be filed in person or by mail with the County Auditor of the county where the property is located.
Filing Dates: 1) Real Property: During the 12 months before May 11 of the year the deduction is to be effective.
2)Mobile Homes assessed under IC
Applicant (owner or contract buyer - see restrictions on reverse side)
Taxing District |
Key number / legal description |
Record number |
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Page number |
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Assessed value of real property as of |
Mortgage / Contract indebtedness unpaid as of |
Is the applicant the sole legal or equitable |
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March 1, current year |
March 1, current year |
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owner? |
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Yes |
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No |
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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: |
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Real Property |
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Mobile Home (IC |
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Name of mortgagee or contract seller |
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Address of mortgagee or contract seller (number and street, city, state, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (number and street, city, state, ZIP code)
Does applicant own property in any other county in Indiana?
If yes, what county?
What Taxing District?
Has this deduction been requested on property for current year? 
Yes
No
COUNTY AUDITOR
Deduction approved in the amount of:
20 ______
20 ______
20 ______
20 ______
20 ______
20 ______
20 ______
Signature ________________________________ County Auditor
Date
I / We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicants was / were a resident of Indiana and owner of the aforementioned property on March 1, 20 ______.
Signature (owner's full name) |
Person authorized by duly executed Power of Attorney |
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or by IC |
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Full resident address of applicant |
Address of authorized person |
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RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant |
Date filed |
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Name of mortgagee or contract seller
Amount of indebtedness
Taxing District
Key number / legal description |
Signature ____________________________ County Auditor |
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Instructions and Qualifications
Applicants must be residents of the State of Indiana.
Applications must be filed during the periods specified. Once the application is in effect, no other filing is necessary unless there is a change in the status of the property of applicant that would affect the deduction.
This application may be filed in person or by mail. If mailed, the mailing must be postmarked before the last day for filing.
Any person who willfully makes a false statement of the facts in applying for this deduction is guilty of the crime of perjury and on the conviction thereof will be punished in the manner provided by law.
The deduction equals $3,000,
Authority for signing a deduction application may be delegated only by an executed power of attorney or by IC
Signature of only one spouse is required for filing, when owner is a husband and wife as tenants by the entireties.
An Indiana resident who was a member of the United States Armed Forces and who was away from the county of his residence as a result of military service during the time of filing must file a claim for deduction during the twelve months before May 11 of the year next succeeding the year of discharge.
A contract buyer must submit a recorded copy or recorded memorandum of the contract, which contains a legal description with the first statement filed for this deduction.
Form Specifics
| Fact Name | Fact Description |
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| Form Purpose | This form is used to declare mortgage or contract indebtedness for deductions from assessed property valuation in Indiana. |
| Filing Authority | The form is prescribed by the Indiana Department of Local Government Finance. |
| Filing Location | Submit the completed form to the County Auditor of the county where the property is located. |
| Filing Deadlines | For real property, file within 12 months before May 11 of the effective year. For mobile homes, file between January 15 and March 2. |
| Eligibility | Applicants must be residents of Indiana and owners or contract buyers of the property. |
| Deduction Amount | The deduction can be $3,000, half of the assessed value, or the remaining mortgage amount, whichever is lowest. |
| Power of Attorney | Authority to sign can only be delegated through an executed power of attorney or under IC 6-1.1-12-.07. |
| Consequences of False Statements | Making false statements on the form is considered perjury and can lead to legal penalties. |
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