HomeMy WebLinkAboutMortgage_Woods (7) ;° +, STATEMENTFOR OFDEDUCTION MORTGAGEFROMASSESS OR CONTRACTEDVALUATION INDEBTEDNESS County Township Year
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Prescribed by Department of Local Government Finance ['I IL 1; i�; i
INSTRUCTIONS: File Mark
To be filed in person or by mail. 11''II ��9 Form filed with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deJaatin 51
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is . 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 Au county
e
where the property is located during the twelve(12)months before March 31 of eacc is sought.
See reverse side for additional instructions and qualifications. GIBSON COUNTY AUDITOR
Applicant(owner or contract buyer-see restrictions on reverse side)
Joanna R. Woods
Taxing District Key number/legal description Record number P�ge numbg[,
Princeton 26-12-08-301-000.274-028 2Clo L
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,anent year assessment date,current year date of application legal or equitable owner?
5107,831 ❑p Yes 0 No
If no,what is his I 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
I) Real Properly ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Acceptance home Mortgage, LLC
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
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 I]No current year? MI 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)
l3,Onlit&iede.,mi. Gibson 06/25/19
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
owner/contract buyer of the aforementioned properly on date application is filed.
Signature(owners full name) Date(month,day,year)
a/eV41,,z 06/25/19
Full resident address of applicant(number and sheet,city,state,and ZIP code)
908 E. Evans, Princeton, IN 47670
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 810,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNES u ,
Name of applicant Name of mortgagee or contract seller BB r J
Joanna R. Woods Acceptance home Mortgage, LLC
Date Ned(month,day,year) Amount of indebtedness Taxing District JUN 2 5 2019
06/21/19 $107,831 Princeton
Key number/legal description
26-12-08-301-000.274-028
Signature of County Auditor/County Recorder County Clat®8{tJ4J ff TTV AU'ITOR
OurinAdOrre c.. Gibson 06/25/19