HomeMy WebLinkAboutMortgage_Stamper , , STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
zJ�„1, FOR DEDUCTION FROM ASSESSED VALUATION COI
: ' State Form 43709(RI 1 6-09) Gibson -Promisee- 2020
'►; iii- Prescribed by Department of Local Government Finance
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INSTRUCTIONS: Toioi, 7 - OCT 2 2 2020 File Mark
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. Form filed with:
Must be filed 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 Home not assessed as real Property: Must file with the County Auditor of the 0 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) 0 Q
* Jeff D.Stamper and Jannie A.Stamper
Taxing District Key number/legal description y
o * SASSAFRAS LANE LOT 4 Record number Page numbe
02 rO//�_�^0�- k00�0 01 g0 In �.-� * l`` b
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Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness Is the applicant the sole
March 1,current year as of March 1,current year. unpaid as of date of application legal or equitable owner?
* $0.00 * $242,771.00 * $0.00 ❑x Yes 0 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
0 R 'I ree .n ua '' Assessed
�+ o:ile ome(IC 6-1.1-7)
Name of mortgagee or contract seller
* Mortgage Masters of Indiana, Inc. c�
Address of mortgagee or contract seller(number and street, city,state, and ZIP code) OCT 6r 2020
* 501 N Cross Pointe Blvd,Evansville, IN 47715
Nam of n or of er owner or holder of mortgagec - .
Address of assignee(number and treet, city,state,and ZIP code) GIBSON COUNTY AUDITOR
Does applicant own property in any other In yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
❑ Yes ❑ No 0 Yes 0 No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Audit.", County r if) Date: ' 1 3..) l (�nth, dtc eAr) .
I/We certify under the penalty of perjury t at 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.
Si. :`re_ 4 $Ull G r ) / JG �� `� Date.v/ 1/?e year)
Fu. reside t ddress of applicant(number and street, city,state, and ZIP co
* 7135 E 500 S,Francisco, IN 47649
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month, day,year)
Address of authorized person(number and street, city, state, and ZIP code)
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant i I'‘N .) e. S f� N of� mortgagee i nGtrr0a tQ seller0.6 1.n
Date filedle (�pptiLd�y Amount of mdeb Is! 2 ��` Taxing District 0O 1 n rri
LL l/V 1 1 -+
Key num er/le al description �� ^ '�' f
kOo�ool .90 \ b/',O�y 1
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Signature untyi itor n ecorder oun y SOn Da$e„ nopiip,day, ear) `A f1
O C T 4 UYU V L L (i-��lA=
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Statement of Mortgage or Contract Indebtedness GIBSON COUNTY AUDITOR IN2013281