HomeMy WebLinkAboutMortgage_Barrett (10) of kt, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS ' CountyTownshipYear
C." % FOR DEDUCTION FROM ASSESSED VALUATION 5 ' State Form 43709(R13/10-15) Gibson 2019
,,,s 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 w Lch r - .;duction is sought.
Must be filed or postmarked with the County Auditor or County Recor r thzi.-•unty where the property is ■❑ County Auditor
located on or before January 5 of the immediately succeeding calenda ea ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property t file,, the C unty Auditor of the county
where the property is located during the twelve(12)months,.-'• h 31 of ea Ij ear the eduction is sought. '
See reverse side for additional instructions and qualificati-ns. . �-�," _
Applicant(owner or contract buyer-see restrictions on reve e side) -
��l ` ` '.',��q ,..:A.
Kaitlynn Barrett 812-677-2927 �.
Taxing District Key number/legal description �� 4. Record number Page number
PRINCETON 26-11-12-104-000.104-028 eJ� 2019-4887
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mo c'/Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date,current year d ® application legal or equitable owner?
cy3,610 ❑■ Yes ❑ No
If no,what is his/her exact share of interest? _ I If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant, • /2 0/ 9^ 4Z �OJ (� Is the property in question:Annually Assessed
/ 0 / ❑ Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Drawer NO
Meridian Home Mtg. Corp '
Address of mortgagee or contract seller(numbera Card NO.
Name of assignee or other owner or holder of mori •
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? ❑El Yes ❑I 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)
j102nt-t zJxy- Gibson 12/30/2019
1/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 property on date application is filed.
Signature(owner's full name) Date(month,day,year)
,,,,46 12/30/2019
Full resident address of applicant(number and street,city,state,and ZIP code)
1627 W Brumfield, PRINCETON, IN 47670
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year)
i
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 INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
Kaitlynn Barrett Meridian Home Mtg. Corp
Date filed(month,day,year) Amount of indebtedness Taxing District
12/30/2019 $93,610 PRINCETON
Key number/legal description
26-11-12-104-000.104-028
Signature of County Auditor/or County County Date(month,day,year)
lclrl c , Gibson 12/30/2019