HomeMy WebLinkAboutMortgage_Curl (4) .04.grAN. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
i .
-r a'F State Form 43709(R13/10-15) Gibson Montgomery 2020
'�' es Prescribed by Department of Local Government Finance
� RECEIVED File Mark
INSTRUCTIONS: I1 .t 1 q� I jut 19 2020 Form filed with:
To be filed in person or by mail.
Filing Dates:1)Real Property:Must be completed an dated in the calendar year for which the deduction is sought. X County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the ❑ County Recorder
property is located on or before January 5 of the immediately succeeding calendar year.
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 yearthe
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Jeremy R. Curl , Dana Curl .
Taxing District Key number/legal description Record numbe Page numbe
Montgomery 26-10-36-400-000.609-021 2°OZb '2-9 b
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 le I or equitable owner?
$175,000.00 214,354.00 Yes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with wh m
If name on record is different than that of applicant,indicate below: Is the property in question:Annually Assessed
A Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller 1.1% _ �"
Bank of England ' „/ u.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) •
P.O. Box 3490, Little Rock, AR 72203 JUN I. 9 2020
Name of assignee or other owner or holder of mortgage
•
Address of assignee(number and street,city,state,and ZIP code) d4+
GIBSON COUNTY AUDITOR '
Does applicant own property in y 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? ❑Yes ❑No '
A person is not entitled o 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 or County Date(month,day, ear)
t; j C I� • `foo 6 `s 2oW •
1/We certifyunder the enalt of perjury that the above and foregoing information is`tfue and correct and that the applicant is a esideht of Indiana and
penalty. P 1 �/ 9 9 PP
owner/contract buyer of the aforementioned property on date application is filed.
Sig ature(owner's full ame) `-- Date(month,day,year)
LN. _ - r 06/10/20
Full sident dr of applicant umber and street,city,state,and ZIP code) •
4 36 S 00 W, Owensville, IN, 47665
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)
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