HomeMy WebLinkAboutMortgage_Watkins 1e� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
.,a_. _ 4 FOR DEDUCTION FROM ASSESSED VALUATION
ii ` State Form 43709(R13110-15)
' ' Prescribed by Department of Local Government Finance
INSTRUCTIONS: File 1t
To be filed in person or by mail. BBB Form filed with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. r ®
Must be filed or postmarked with the County Auditor or County Recorder of the county where the propert I 1, unty Auditor
located on or before January 5 of the immediately succeeding calendar year. ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must Me 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 so ht.•
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side) GIBSON COON IY AUUI I UR
WATKINS, DAVID ROPE JR AND KIMBERLY J.
Taxing District Key number/legal description Record number Page number
WASHINGTON 26-06-20-400-003.786-017 P/SWQ SEQ S20T1SR9W Ia-6oa5
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assessment date.current year assessment date,current year date of application legal or equitable owner?
362632.00 El Yes 0 No
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:Annually Assessed
0 Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
STEARNS LENDING, LLC
Address of mortgagee or contract seller(number and street,city,state,and ZIP rode)
4 HUTTON CENTRE DRIVE 10TH FLOOR, SANTA ANA, CA 92707
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for
in Indiana? Yes No current year? ❑ID Yes ❑No
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 County Auditor County Date(month,day,year)
I 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
toowner/contract buyer of the aforementioned property on date application is filed.
atur (owners MI name) Date(month,day,year)
Full resid&nt address of appli t( ber and street,city,state,and ZIP code)
7042 E 350 N FRANCISCO, IN 47649
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 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.
EMENT OF MORTGAGE OR
CT
an FORTDEDUCTIION FROM ASSESSED VALUATION INDEBTEDNESS County Township Year
�:- State Form 43709(Rt 3/to-15) 9,- pn �\6-O ab 1 g •
.ram - ,11}J1
Presrrbed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be filed in person or by mail Form filed with:
Filing Dates: 1) Real Properly Must be completed and dated in the calendar year for which the deduction is sought ..(
Must be filed or postmarked with the County Auditor or County Recorder of the county whem the property is leCounty Auditor
located on or before January 5 of the immediately succeeding calendar year. �� County Recorder
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 skis for additional instructions and qualifications.
ApPCvani( 1 uad-M� , ^resr»ion\ reverse-Se)
Is
•
axing D' U Key number/legal description Record number Page number
VI. Z6-o6-to - Roo- n03 . 1$6—Ok7 2:0LE Sp? Sr
Assessed value°Used property as of Mortgage/Contract Indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date,current year date of a ication ()p legal or equitable owner?q �0(� ❑ Yes ❑ No
If no,what is his/her exact share of interest? If owned with sordeone other dw'spouse,indicate with whom
If name on record is different than that of applicant indicate below. s the property in question:Annually Assessed
i - i C • nuallyAssessed
Name of mortgageeF I { . 7 F'IOrfle(IC&1.1-7)
orcontract seller ��' :•
S�ea�ms Len�+h . ,
Address of mortgagee or contract seller(number and steel aly,state,and ZIP code) v DEC 14 2018
Name of assignee or other owner or h r.nf nndnage .1140I
Address of assignee(number ands Drawer NO 1./1�-/ O GIBSON COUNTY AUDITOR
Does applicant own property in any tis deduction been requested If yes,state amount of deduction _.
in Indiaotheranna?nty ❑Yes ❑No Card NO. VerlY tor ai r ❑Yes ❑No
A person is not entitled to this dcontractth tgage or indebtedness at is recorded in the county
recorder's office(including any 1 c - r�4-ly, I %- - ars office)that is the basis for the deduction.
Deduction approved in the amount of: .c
20 20 20 20 20 ' 20' 20
Signature of County Auditor County - Date(month,day,year)
I/We certify under the penalty of perjury that the above and foregoing information is true and coned and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property-on date application is filed.
ASi/g/nam/re(owners to name) / / e�)(motif year)
Rill resident address of applicant numbs state,and ZIP code) I l
42 '
Persbn authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 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 Iwo and a half years and a fine not to exceed$10,000.