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HomeMy WebLinkAboutMortgage_Givens -. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownshipYear 4�.;•-s FOR DEDUCTION FROM ASSESSED VALUATION - in2 `1j „felt State Form 43709(R13/10-15) RECEIVED 9130 � 0 0��'`�---�! Prescribed by Department of Local Government Finance reTe INSTRUCTIONS: ri: /G�1' eT OCT 0 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) Albert Givens and Tamara Givens Taxing District Key number/legal description Record number P umber -�aaek - 0Z$ 26-12-18-101-000.419-028 2'o 2-Q , 0) 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 t� legal or equi ble owner? nigb9(0,0v Yes ❑ No If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom VVV If name on record is different than that of applicant,indicate below: Is the property in question:Annually Assessed ❑✓ Real Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller w J 'N T R Mortgage Research Center LLC DBA Veterans United Hon- LLa►Ts , , —i i / Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 1400 Veterans Un5ed Drive Columbia,AR 65203 Name of assignee or other owner or holder of mortgage NOV 0 2 2020 Address of assignee(number and street,city,state,and ZIP code) Does applicant own property in any If yes,what county? What Taxing District? :illiss ffi©deductton 6l r 1requed"teta l it'yes,state amount of deduction other county on property for in Indiana? Yes No current year? Yes ❑❑ III No A person is not entitled to this deduction unless the person has a balance on the person's mortgage 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 County t Date(month,day,year) Is (re() (.6---: -31-D2) ..1 VC\ ) 1.2- 2'''Oe?'0 . I/We certify under the pen-lty of perjury that the above and foregoing information is t and correct and that the applicant is a resident of Indiana and owner/co tract buyer of : aforementioned property on date application is filed. xF ' natur er's n•' e)I� ate month,day,year) resident address of•pp' t(number and street,city,s te,and ZI code) 515 W Illinois St,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)