HomeMy WebLinkAboutMortgage_Pearson (2) aR4.>a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
a. County Township Year
7 FOR DEDUCTION FROM ASSESSED VALUATION "'�
al "J. :, f)' State Form 43709 R13/10-15) '''':CZ7 It6b cscie) on _ c020.0
+mac P Prescribed by Department of Local Government Finance ,:.
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INSTRUCTIONS: d I u 02020File Mark
To be filed in person or by mail. ?cilo,,,9,1_,
Form filed with:
Filing Dates: 1) Real Property.Must be completed andd 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 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)
PEARSON, CANDANCE K.
Taxing District Key number/legal description Record number Page number
PRINCETON 26-12-18-203-003.431-028/SS ADD 215 'J t.\y2Q/
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 equita caner?
77600 116161 116161 te-Ves ❑ 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
Ltceal Property ❑ Annually Assessed
of le jome(IC 6-1.1-7)
Name of mortgagee or contract sellerF I Plaza Home Mortgage, Inc LI r....ii.-
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Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
6420 Sequence Drive, Suite 200, San Diego, CA, 92121 OCT 0.5 2020
Name of assignee or other owner or holder of mortgage
p ^ -- ---
Address of assignee(number and street,city,state,and ZIP code) 7,`'';i44—1,4
r
GIBSON COUNTY :',;„Y 1'7OR
Does applicant own property in an 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 o 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 Audi r �;� �`� County \ Date(month,day,year)
I/We certify under the penalty of perjury that the oregoing information is tr d correct and that the applicant is a resident of Indiana and
owner l contract buyer of the aforementioned property on date application is filed.ig atured o rler/ me (monpepyzir/)�oz po
Full rest nt/address of applicant(number an s met city,state,and ZIP code) �/�1
1121 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)
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 applicant �^` l
Name ort a ee or ac seller „/�
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t � Y I 4.63e. ,
Date filed(month,day,year) Amount of indebtedness 1 „4 ' District
tO • s - `"A`?-\9- 0 2-1?
Key nu ber leg;descriptiop.,^ L43) 0225 O C T 0.5 2020 7,0 4 .(2.
Signature of County Au r/ unty. ecorder County 9�� Date(month,day, ear)
GIBS OUNTY AUDITOR