HomeMy WebLinkAboutMortgage_Denham 6`'4'4, STATEMENT OF MORTGAGE OR CONTRACT IN EU BTEDNESS County Township . Year
IT -fw:. A FOR DEDUCTION FROM ASSESSED VALUATION
�,."`'' J' State Form 43709(R13/10-15) Gibson Princeton 2020
'-'iN-laii>4.0 Prescribed by Department of Local Government Finance RECEIVED
- File Mark
INSTRUCTIONS: ,�"""� I AUG 1 7 2019 Form filed with:
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. al 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 year the
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side) I
Teresa L. Denham
Taxing District Key number/legal description Record number Pa m er
Princeton , 26-12-08-301-001.242-028 r"),010 k4L1 _
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 I al or equitable owner?
47,300 60,800.00 Yes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with om
If name on record is different than that of applicant,indicate below: I he property in question:Annually Assessed
Real Property ❑Annually Assessed
„c,.....lil ' Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Home Point Financial -
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) Q
9 Entin Rd, Suite 200, Parsippany, NJ 07054 A'L�1'
Name of assignee or other owner or holder of mortgage
i
Address of assignee(number and street,city,state,and ZIP code) ''ct Q` '
Does applicant own property in any If yes,what county? What Taxing District? Has thisiuction been requested If yes,state amount of deduction
other county on rty for
in Indiana? ❑Yes No ctA nt year? ❑Yes ❑No
A person is not entitled t 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(includi g 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 :
20 20 20 20 20 20 20
Signature of County Auditor County Date(month,day,year)
A&n 1 tSoY1 1 11,- r�'Za
I/We certify under the penalty of perjury that the above and foregoing information is tTa2 and correct and that the applicant is a resident of Indiana and
owner/co a buyer of the aforementioned property on date application is filed.
Signature wn Fs f 'Date(month,day,year)
.. 08/11/20
Fuirresident d ress scant(number and street,city,state,and ZIP code)
127 S Madison St, 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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000. 45748