HomeMy WebLinkAboutMortgage_Joyce STATEMENT OF MORTGAGE OR CONTRAC .e LE
County Township Year
,n� FOR DEDUCTION FROM ASSESSED VALUATI'.
2yg " State Form 43709(R13/10-15) Gibson White River Tovmship 2019
+T� 1 Prescribed by Department of Local Government Finance tf
INSTRUCTIONS: JUL 2 5 2019 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 w ch the de ucf i ght.
Must be filed or postmarked with the County Auditor or County Recorde f h ere the property is [II County Auditor
located on or before January 5 of the immediately succeeding calend D Counry Recorder
2) Mobile/Manufactured Homes not assessed as Real Propert)0128019wei0hitaYnOlfaUthe 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 resmcdons on reverse side)
Lynn Joyce
Taxing Dismct Key number/legal description Record number Page number
Princeton 261218203001186028 ZX0l� t 26%
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?$69,696 ❑p 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: • Is the property in question:Annually Assessed
❑� Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Masters
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 No current year? ❑O 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)
/1rt,e^^r.- ,G /n Gibson 7/23/2019
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 I contract buyer of the aforementioned property on date application is filed.
Signature(owner's full name) Date(month,day year)
�fjn k;;u( 'fl 07/23/2019
Full resident address of applicant(number and street,city,state,and ZIP code)
1214 S Prince St, 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$10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT I D E Esg_i ;Ili
Name of applicant Name of mortgagee or contract seller
Lynn Joyce Mortgage Masters 2 5 2019
Date filed(month,day,year) Amount of indebtedness Taxing Nia
07/25/19 69,696 Princeton
Key number/legal description /I/ 11-d1/�
26-12-18-203-001.186-028 tine r-/_[TYW'-i'/_7j-
Signatureof County Auditor/County Recorder County CsIf3.�i0N C'"Date(moont AUDITOR
Ahova�„ -� Gibson 07/25/2019