HomeMy WebLinkAboutMortgage_Hill (13) ,) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownship
,�, , Year
t, = * FOR DEDUCTION FROM ASSESSED VALUATION n,,
,I 'f State Form 43709(R13/10-15) RECEIVED l,s'On02-g a.020
v / Prescribed by Department of Local Government Finance
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INSTRUCTIONS: 'l IO � SEP 2 8 2020 File Mark
To be filed in person or by mail. �� Form filed 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 X County Auditor
located on or before January 5 of the immediately succeeding calendar year. ❑ County Recorder
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)
HILL, ROBERTA D.
Taxing District Key number/legal description Record number Pa a nu er
PRINCETON 26-12-07-401-002.796-028/PT SE 7-2-10 .24 AC `7020 3
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the bpplicant the sole
assessment date,current year assessment date,current year date of application legal or equitable.owner?
49300 0 83484 es ❑ 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: r gH Jj
Is s; e p scion: ally Real pe�l 1 Ann Annually Assessed
.. Y Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller .
GVC Mortgage, Inc. SEP 2 S 7020
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
One Plaza Dr., Suite 3, Pendleton
Name of assignee or other owner or holder of mortgage GII,t,
BSON C1 .
AUDITOR
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 deduction
other county on property for
in Indiana? ❑Yes to 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 20
\Signature of County Auditor �; c ) County a 1�� 1 Date(mon ,day,par) 2 (21
II We certify under the pens y of perjury that the above and foregoing information is tr and correct and that the applicant is- reside t of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
•g •fure owner's full name) Date month,day,year)
4.1*k 0 0 Y•iS doa-)
ull esident address of applicant number and street,city,state,and ZIP code)
311 S Race Street 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) i
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant70 \1 erif ,ortgag-`e q/c•itra seller 'J rm ^ •
.
11,', Ate! (`f r I t`J\rnM1�--
9:'z �1 - ' �e,
Date filed(month,day,year) Amount of indebtedne s ,oi Taxing District toxi
Key number/legal description 3 t
2b,12 01-L1,01 - 0
0
2 tco 2i20 - 423S .
Signature of County Auditor o y Recorder C Co ` r ri, Date(month,day,year) c, ,
�� GIBBON c I` p �► DITOR $Z ZS•2o2a