HomeMy WebLinkAboutMortgage_Allen (3) 0E-6r4k STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
& County I Township Year
1 �• :> FOR DEDUCTION FROM ASSESSED VALUATION
d �' State Form 43709(R13/10-15)
GIBSON I024 2020
�" =" •i< Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be filed in person or by mail.
Filing Dates: 1) Real Property.Must be completed and dated in the calendar year for which the deduction is sought. Form fled with:
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 immediately succeeding calendar year. I� County Auditor
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county El
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)
John/Billie D Allen
Taxing District I Key number/legal description
024 26-23-12-402-001.120-024 I Record number I Page number
Assessed value of real property as of Mortgage!Contract indebtedness unpaid as of Mortgagep209 f) 2459
/Con
assessment date,current year assessment date,current yearindebtedness un aid as of Is thelapplicant e o sole
date of applicationact
legal or equitable owner?
$282,944 R.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 ❑ AnnuailyAssessed
Name of mortgagee or contract seller �{ Mobile Home(iC li 1.1-7)
Mortgage Research Center,LLC Vet United HoI e
ILE *
..,
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
Name of assignee or other owner or holder of mortgage
AUG 0 4-ZUZU
Address of assignee(number and street city,slate,and ZiP code)
• tr --
Does applicant own property in any If yes,what county? '&''>•'*
other county ty What Taxing District? Has this dggt�rl. ( G®gq �f Iftyescs Ogount of deduction
in Indiana? ❑Yes ❑No I , on current year?
I
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 fine of credit that is recorded in the county recorder's office)that is the basis for the deduction.
Deduction approved in the amount of: COUNTY
20 I O� I 20 I 20 I 20 I 20 I 20
Signature of County Auditor �� I County
ivick I Date
G'son / g•4. 20 't0
I/We certify under the penalty of perjury that th ye 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(owner2am air
?�
�O/l�' ---1 44 ' Date(month,day,year)
' 07/27/2020 •1'
Full res.,--nt-•dress of applicant(number and street,city stale,and ZiP code) _
5 1 1150 S,Haub, IN 47639
Pe on.. prized by duly executed Power of Attorney or by IC 6-1.1-12-0.7
I 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 S10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant i Name of mortgagee or contract seller
John/Billie Allen Mort Re Center LLC, Vet United
Date7ed month d ear)�q Amount of uT _
}( ,CI 1iaxingoiztrliLuaiis
024
Key number/legal description 26-23-12-402-001.120- 4 4
Signature of Como ' ef. �" fC
1 e AUG ®"�° gON Date(month,day,year)? 0
GIBSON COUNTY AUDITOR