HomeMy WebLinkAboutMortgage_Dunn (2) 4�. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
�i J State Form 43709(R13/i131S7
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GIBSON �28 2020
# Prescribed by Department of Local Government Finance
INSTRUCTIONS: 1
File Mark
To be filed In person or by marl. W " ' Form fled with:
Filing Dates:1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought
Must be filed orpostmadced with the CountyAudltor or County Recorder of the county where the property is IN 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) John/Brenda Dunn
Taxing District Key number/legal description 26-12 07 101-001.463-028 Record number Page number
028 2020 4 b 33'
Assessed value of real property as of Mortgage!Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of is the applicant the sole
assessment date,current year gccrccment date,current year date of application $92'000 legal or equitable owner?
Q 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
1j-Real Property ❑ AnnuallyAssessed
A Mobile Home(lC 6-1.1 7)
Name of mortgagee or contract seller ETFCU
cif'
Address of mortgagee or contract seller(number and sd FI 1
•
Name of assignee or other owner or holder of mortgage —�
^_JI S� —y (a ` OCT 14 2041 C,
Address of assignee(number and street,city,state,aric r J
______
Does applicant own property in any If yes,what emirlli!!!
ed e duction
nindaar ❑Yes ❑No GIPOSON COUNTY AUDITOR
A person Is not entitled to this deduction unless tt ledness that is recorded in the county
recorder's office(including any home equity line r, I sis for the deduction.
GUUIl r T AUUI I UK
. Deduction approved in the amount of:
20 20 LO 20 20 20 20
Signature of County Au c... ESTi CountyData(month,day,year)G'son j 111,iy. z020 .
/We certify tinder the penalty of perjury that the above 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. , I
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►; ign% s �l aP = Datg(erpgtla� r) ,`
Fiill'6sident address of applicant(number and street'city,state,and ZIP code)
320 W Spruce St,P'ton,IN 47670
Person authorized by duty executed Power ofAttomey or by IC 6-1.1-12-0.7 j 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 of applicant John/Brenda Dunn Name of mortgagee or contract seller I ETFCU
Date tiled(month,day,year) 1 Q,,y•
. Amount of indebtedness $ 92,000 Taxing Dilstrict 028
Keynumberllegaldesaiption 26-12-07-101-001.463-0 1 11 20 - 463� los Ns207.0
Signature of Cou Auditor/C°�Re d l.ou tyr Lille ips,,_ Date(month,day,year)
,rn\ n GIBSON
OCT 14 2020
_('Ir
GIBSON COUNTY AUDITOR