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HomeMy WebLinkAboutMortgage_Fikes 0,01 ,u STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year =.7 FOR DEDUCTION FROM ASSESSED VALUATION o q,5011 © [ 2020 Jr _ _ ,t t� x\ 1,0 `� State Form 43709(R13/10-15) ��C2E1� � � 4�" Prescribed by Department of Local Government Finance File Mark me INSTRUCTIONS: �? -S AUG Z 1019 To be filled in person or by mail. Form fled with: Filing Dates:1)Real Property:Must be completed and dated in th 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 located on or before January 5 of the immediately succeeding calendar year. County Auditor 2)Mobile/Manufactured Homes not assessed as Real Property: Must file with the County Auditor of the ❑ County Recorder 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) Kyle B. Fikes and Tami D. Fikes Taxing District Key number/legal description 26-11-15-202-004.734-027/589 S Cathy Dr. �p'9 ri�bgr Page number Princeton, Indiana 47670 (�J �1�I/ Assessed value of real property as of Mortgage/Contract Indebtedness unpa as oo rtg g / o !rac i debtedness unpaid as of'Is t e appicant the sole assessment date,current year assessment date,current year da f • r'o leg or quitable owner? $214,562.00 Yes ❑ No If no,what is his/her exact share of interest? If owneAWit§s n3o262t er than spouse,indicate with who If name on record is different than that of applicant,indicate below: • I. e property in question: Annually Assessed am fj p,, Real Property J Annually Assessed GIBSON COUNTY qU� a Iiii Or Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Regions Bank d/b/a Regions Mortgage Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 2050 Parkway Office Circle, Birmingham,AL 35244 Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) Does applicant own property in any 'If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of other county on property for deduction in Indiana? ❑ Yes 0 No current year? ❑ Yes 0 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 20 Signature of eirAudyqr, ___,n County \SQ Date(mpgthtlya�i I/We certify nder`pena`lty ooff perjury that the above and for�b oing information is true and correct and that the/atoplicar t-is resident of Indiana and owner/contract buyer of the aforementioned propert to appli tion)filed. rrr///��� S' tur w e ame) D 4/ of,f(a7 r)�c) Full resid6nt address of applicant(number and st • ,state,and ZIP code) 'L//U // 589 S Cathy Dr., 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.