HomeMy WebLinkAboutMortgage_Halley ,8-.„>s STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
f - `> FOR DEDUCTION FROM ASSESSED VALUATION OZ '-
.� '; Gibson 2020
State Form 43709(R14/1-20)
%ets " Prescribed by Department of Local Government Finance RECEIVE®
INSTRUCTIONS: To be filed in person or by mail. 1QS S 1 J U L 2 2 2019 File Foam filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. Ir I County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. ❑ County Recorder
• See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Zackery A. Halley and Mackenzie M. Settle •
Taxing District Key number/legal description - Record number Pa e numb r/o
Patoka (32 e3- 26-05-33-300-000.280-027/PT SW 33 1 10 7.00 AC 2 (,/0 V
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 quitable owner?
136800.00 $206,150.00 Yes 0 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 property in question:Annually Assessed
Real Property El Annually Assessed
h.
Name of mortgagee or contract seller F i F r \ Mobile Home(IC 6-1.1-7)
Caliber Home Loans, Inc. .
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
3701 Regent Blvd., Suite 180, Irving, TX 75063 JUL 2 2 2020
Name of assignee or other owner-or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) ;;��;;;;4. 4
GIBSON COUNTY
OUN Y
AUDITOR
Does applicant own operty in any If yes,what county? What Taxing District? Has this deduction been nested If yes,state amount of deduction
other county' on pro for (Si0
c9
es 0 No V` current year? (
in Indiana? 1/ p pe es ❑ 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
IISignature of County Auditor , - County Date(month,day,year)
•
. � Gibson 0
1 —l • 22.7�0
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contrac uyer of the aforementioned property on date application is filed.
iSigna`"r`e(ow full na?ne)�N,., 3 '=1j !�� ar)
0571
Full resident address of applicant(number and street,city,state,and ZIP code)
1883 N.CARITHERS 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) -
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