HomeMy WebLinkAboutMortgage_Byrns (6) .e-sArP STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownship
�, r-..\a Year
.i -,: FOR DEDUCTION FROM ASSESSED VALUA y
S -'i?•':',.`t State Form 43709 R13/10-15 iCO1 t7 ED
.� ( ) Gibson Montgomery 2020
° ieie='=- Prescribed by Department of Local Government Finance
INSTRUCTIONS: SO ,' 1 I;fin NO v 2 2�2� File Mark
To be filed in person or by mail. �l ,\5— 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 isCounty 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 Byrns and Kelly Byrns a/k/a Kelli Byrns
Taxing District Key number/legal description Record number Page number
Montgomery 26-17-02-100-005.146-021 aD&O of
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 equitable owner?
64,600 160,000 163,000 0 Yes 171 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 a property in question:Annually Assessed
.j#.
e ' o.erty ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller FIL :S
First National Bank of Carmi
Address of mortgagee or contract seller(nuinberand street,city,state,and ZIP code) NOV 0 6p 2020
201 E. Main St. Carmi, IL 62821 �v H
Name of assignee or other owner or holder of mortgage ----
Address of assignee(number and street,city,state,and ZIP code) GIBSON COUNTY AUDITOR
Does applicant own property in any 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• ✓❑No' — - - -- - - - - - curreht 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 fs 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 20 County 1 Date(mo th,r year)
;�r�►1 q ,fl1 lyf 220 Zo
I/We certify under the penalty of perjury t above and foregoing information is truejand correct and that the applicant a resident of Indiana and
owner/contract buyer of the aforementioned property on date applic.' • filed. •
Si nature(owner's full na e) i Date(month,day,year)
�' ♦ 10/21/2020
ul resident address "" applicant(number an street,ci ate,an ZI code)
4760 South 850 We t Owensvi , IN 47665
Person authorized by duly executed Power of ttorney 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)