HomeMy WebLinkAboutMortgage_Brown (9) 1-8.'-°.: STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
ar:� 7 z FOR DEDUCTION FROM ASSESSED VALUATION
� ` 'J/. State Form 43709(R14/1-20) REC E��('�.
Gibson 02�I 2020
d ir`' Prescribed by Department of Local Government Finance
j� ^ OCT 2 8 2020 File Mark
INSTRUCTIONS: To be filed in person or by mail. �Jd SS ._ ` • Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. [I County Auditor
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 calendar year in which the property taxes are first due and payable. ❑ County Recorder
See reverse side for additional instructions .•i •.;- cations.
Applicant(owner or contract buyer-see res s-1 G ease side)
Timothy M. Brown and Michelle J. Brown
Taxing District Key number/legal description Record number Page number
Haubstadt J0 14"4`S 17/18/19 �26-23-02-402-002.583-024/OAKRIDGE ESTATE SEC B 'LA l`i 'e2 ,
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appl' ant the sole
assessment date,current year assessment date,current year date of application legal or quitable owner?
$0.00 $250,000.00 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: I he property in question:Annually Assessed
Real Property ❑ Annually Assessed
I .i Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller _i,J .i g
Heritage Federal Credit Union .,
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) OCT
2020
5388 Old State Road 66, Newburgh, IN 47630
Name of assignee or other owner or holder of mortgage � __�
n�,, -7r
Address of assignee(number and street,city,state,and ZIP code) 7( �"""Y`°tu; y�
GIBSON COUNTY AUDiTOR
Does applicant own property in any ' If yes,what county? What Taxing District? Has this deduction b n requested If yes,state amount of deduction
other county El Yes El NO on property for VLI Yes El NO
in Indiana? current year? 11v�iCCUJI
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 Au•, . \ County (month,day,
^�C----- (� Date year)
"M1 C J`li Gibson O.23 •' 4)(10
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contrac buyer of the aforementioned property on date application is filed.
Signature(o full name) .� �Gel �4. Date(month,day,year)
�((� � 'ti9•— 10/09/2020
Full resident ad e slicant(numb- . .st-:t,city,state,and ZIP code)
10685 S. Oak Ridge Estates, Haubstadt, IN 47639
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 nenaltina fnr nerinry ran innhfrte imnnennment tin to twn and a half vaara and a fine not to Pyr•P_Rrt Ran nnn