HomeMy WebLinkAboutMortgage_McCrawy�"�'�A STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count I Township Year I
,-°e�= FOR DEDUCTION FROM ASSESSED VALUATION
Stare �onn a37o9 (Rn / 609) Gibson Princeton 2073
�'' Prewibed'oy Department of Local Govemment Finan�
File Mark
INSTRUCTIONS:
To be filetl in person or 6y maiL F filetl °
F�ling Dates: 1J Real Property: Mus! be comp/e1eC and tlafetl in the calendar year for which the deduction is sou .
Must 6e filed with the CountyAuditor or County Recorder o/ fhe covnty where the property is located n ,or
on or before January 5 0; the immediately succeeding calendar yeac D . County Recorder
2) Mo6ile / Manulactured Homes not assessed as Real Property: Must file with the CountyAuditor o( the
cowty where the piop=rty is located dunng the NieNe (72) monfhs be7ore March 37 of each year the
deduction is sough(.
C . �J. M.�'�._,
See reve�se side for addrtional insfmctions and qualificafions. (\ \
Appliwnt (owner
Kimlee L. M
�d�011j DiSt(NC.
buyer-see restnctions on reverse side)
etl value of real prooerty as o/
1, artmt year
It rro, wnat is itis / her exact share
If name on reca0 is di9erent Nan Nat
Key oumber / leaal descnpfim
26-12-18-201-002.890-0:
IMortgagelCOnVact'u
March 1, cunent year
Name of rtartgagee or conVaU seDer
Hallmark Home Mortgage, LLC
Adtlress of mongagee or conUact se0er (number and streeC rity, s;ate. antl ZIP code)
7421 Coldwater Road, Ft. Wayne, IN 46825
Name ot assignee or other wmer or fwlder of mortgage
AtlCress of assignee (numherand sLeeL rity, state, antl
Dces applicant ovm pfoperty in any o:ner
munty in Ind'ana?
n Yes
GEl
f Mortgaae I Convact
date of appLation
91.734
GIBSON COUNTY AUDITOR
RecorEnumher r--Instrun?nt
2012409DEE0
ness unpaitl as ai Is Ne applicanl Uie sole
legal or eq�itable owneR
❑� Yes ❑ No
i someone other Nan spouse, intlicate vnN whom
II yes, what munry? � What Ta�ing Disinct7
Is the property in questim: Mnualy Assessed
�❑ Real Property ❑ MnuallyAssessed
Mobile Home (IC E1.
Has Nis tleCUCtion been requesteE on pmperty
fw cunent year?
� Yes ❑ No
COUNTY AUDITOR
DeCUCtion approveC in Ne amount o`:
20 20 20 20 20 ?0 20
Signatur (Coun.yAUditor I Coun.ry Date (monfh. day, year)
' / �
I! We certity under the penalty perjury Na above and foregoing informalion is true and wnect and that the applicant is a resident of Indiana and
ovm conVact buyer of the aforemenfi ne operty on tlate applicalion is filed.
wr (mvne/ upn m , � / Date (rtronM, day, year)
l 4�/ ,Z�,��zo,z
Full resi ent aECress of app icant (numb r� tl street, crty, siafe, antl ZIP code) �
1030 "Gibson, Princeton, IN 47670
IPerson auNOdzetl by Euly executed Power ol Attomey or by IC GL142-07 Date (month. day. year)
ACdressofau•.hanzedpersan (numberantlsveei,city,slate,andZlPCOde)