HomeMy WebLinkAboutMortgage_Hull�°i?+a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
�_ _. 4 FOR DEDUCTION FROM ASSESSED VALUATION
� Slate Form a3709 (RN / 6-09) Gibson Patoka 2072
,,,, Prescnbee by Oepartment of Lotal Cqvemmenl FinanCe
� �File
� INSTRUCTIONS:
To be filed in person a by mail. ��� w� �
Filing Dafes: 7) Real Property: Mus( be candeted and tlaled in the calendar year lor which fhe tletluction is soug �.
Mus7 ba filed with the County Auditoi oi County Recnrder o/ Ihe county where fhe property is locafed `� Counry Auditor
on or belore January 5 of the immediarety succeedirg calentlar year. N� 2��ZQ�bunry Recorder
2) Mod7e /ManWaaured Nomes rrot assessed as Real Property: Must fi!e with (be CounryAUtliror ol the
county wheie the pioperfy is locefed dunng fhe M1valve (72) months be%re March 37 otearh year fhe
deduc(ion is soughL C -�. � •$.. .y
See reverse side la additional instrucfions and quali/icalions
Applitant (oMner or confratt buyer - see �es(ric(ions ar reverse SiCe)
Robert Cody 8 Mary Denise Hull
Patoka
2Cr11-�4-102-001.244-027 Pt NW 14-2-11
Mortoaae / Conlrad indebtedness unoaid az
Alarrh 7, wrtrnl year I March t, wrtenl year
5257500.00
It n0, what i5 h4 / h¢r EzaCt Sh2re ot iniP125�?
tl name rn recortl is du^.erent Itan Nal d appGcant. indicate beb.v:
If owneE wiN
Sonoe Otake. Trustee of the Sonce Otake Revocable Trust dated 10/72/7993
ame a( mortgagee w wnVaq
USAA
Antlress of mortgagee or contratl seller (nwnber and svceG ciry. sfafe. and ZIP code)
10750 McDemwtt Freeway, San Mionio, TX 78288
Name of assgriee or oNer owner w hoMer of rtangage
AEdress o( asvgnee (number and sbeeL cily. 9ate, arM ZIP cotlej
any
Yes
GIBSON COUNTY
ntleDlBtln¢ss unp3q as d Is Ilie appKant IM sole
� legalorepuitableawne(!
Q Yes ❑ No
un spouse, irMlnte wiN whom
Is the propeny in question: Annwity Assessed
❑� Real Property ❑ MnuaOy Assessed
for
� C�PQrtY
COUNN AUDITOR
DeEUC1wn approved in tha amount ot
20 20 20 20 20 20 20
Si9�aWre d Counry A W aw County Date (manlh. day, year)
I/ We certify under the penalty of perjury Ihat the above and foregoing infortnauon is troe and wrtea and that the applicant is a resident of Indiana and
ow r/ wntraa buyer ot the aforemen6oneE property on date applicalion is filed.
Sigriaiur � �� ' C.Suirv✓cac �N-�-� �� (� I �. daY• YEe�
Fu0 r iCenl aCEress of appl' I(numDer aid strae�, ciry. sate, eM cotle)
2195 SW White Church Rd, Princeton, IN 47670
Person aulhonzed by duty e�ttutea Power MAHOmey or by IC 61.7-72-0 7 Date (mrnfi. day. year)
Address of auUrorized person (num0er anC sVeet. ay, sfate, a� ZIP cotle)