HomeMy WebLinkAboutMortgage_Hunter (6) . ^•�v STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
f°><__ . FOR DEDUCTION FROM ASSESSED VALUATION
'i . State Form 43709(R12/6-14) Gibson Patoka 2020
Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be filed in person or by mail. Form filed with:
Filing Dates: 1) Real Property: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 where the property is [71 County 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 side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Lawrence E. and Marla R. Hunter
Taxing District Key number/legal description Record number Page number
028 26-12-07-401-000.745-028/Pt SE 7-2-10 .35 AC, Gibson County oZ 0 /9 / 75o
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
March 1,current year March 1,current year date of application ^�11 legal or equitable Amer?
a5 , 000 ❑ Yes ❑ 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 , e property in question:Annually Assessed
it real Property ❑ AnnuallyAccessed
I� Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
United Wholesale Mortgage uAy 2 20Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
1414 E. Maple Road, Troy, MI 48083 u
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
OIDCON CnUNTY AUDITOR
Does applicant own ropeny,in any If yyyeFF,what county? • What Taxing District? Has this deduction been requested If yes,state amount of deduction
in Indiana?
d 1/��'Ih on rent yey for
in other
county
Ad Yes ❑No V Y I) on pro year? ❑Yes ❑No
• A person is not entitled to this deduction unless the on 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 20 200 20 20 20 20
Signature of un uditor C - \-\� County
,� \ �/\ Date(month,day year) G
I/We ce I under the penalty of perjury th. the above and foregoing information is and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the af. mentioal property on date application is filed.
ure(owner's full name) Date(month,day,year)
� � 4/19/2019
I resident address of applica (number and street,city,state,and ZIP code)
222 East Clark Street, Princeton, IN 47670
Person authorized by duly executed Power ofAttomey 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 510,000. .