HomeMy WebLinkAboutMortgage_Gray STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
e''.� County Township Year
r .,� - FOR DEDUCTION FROM ASSESSED VALUATION
"t'v- •!- State Form 43709(R13/10-15) Mont ome 2020
juf.�r,: GIBSON g ry
,� Prescribed by
.)- File Mark
7b be filed/n person or by mail. Form rued 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 ® County Auditor
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 County Recorder
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) Matthew/Michele Gray
Taxing District Key number/legal description 26-10-36-101-000.888-021 Record number Page number
MOntgomery 2020 77R7
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?
197,395 k 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: in Assessed
perty9 n. I ua,.lyi' sect
1 .I ome(IC ti 1.1-7)
Name of mortgagee or contract seller '
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) JUL 1-62020
Name of assignee or other owner or holder of mortgage n
Home Point Financial Corporation
Address of ossigneo(number and street d stale.end ZiP code) GIBSON CO() IY AUDITOR
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 0 No current year? ❑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-VC) 20
Signature of C ud'rloc..if (;:-..„..11D County Da(g�j //gyar)
T� iv 1 G'son u// U
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 property on date application is filed.
Signature e?s full me) Date(month,day,year) f1
X'
(} I i� I i1 07/14/2020 `fit
Full id nt address ap r nt umbirr alreet,city,state,and ZIP code)
6736 W 400 S,O'ville,IN 47665 _
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Dale(month,day,year)
Address of authorized person (number and street di):state,and ZIP code)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed S10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
Matthew/Michele Gray Home Point Fin Co
Date filed4720 onfhti 0 day,year) Amount of indebtedness Taxing Otrici
07/1 $197,395 Montgomery
Key number/leg al description 2610-36-101-000.888-014 D
Signature of �� cuditor/Coup R rC Date(month,day, sr-
year 2020
�I 1"\ �✓tY� /
�' �- GIBSON
JUL 1 6 2020
GIBSON COUNTY AU
DITOR