HomeMy WebLinkAboutMortgage_Georges STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS" County Township Year
T- FOR DEDUCTION FROM ASSESSED VALUATION_
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' State Form 43709(R14/1-20) �V�® Gibson Princeton 2020
%'"`"'*� Prescribed by Department of Local Government Finance
nueNOV 12 2020
File Mark
INSTRUCTIONS: In/ joi\okri Form filed with:
To be fled In person or by mail.
Filing Dates:1)Real Property:Must be cordOleted and dated in the calendar year for which the deduction is sought. X County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the 0 County Recorder
property is located on or before January 5 of the immediately succeeding calendar year.
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.
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Applicant(owner or contract buyer-see restrictions on reverse side)
Ginger D. Georges , Kaleb D. Georges
Taxing District �p Key number/legal description I Record number Pa a nu ber
Princeton 0 D 26-12-18-101-000.036-028 ! 2-0� 51 6
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 a al or equitable owner?
$125,500.00 150,505.00 Yes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with w m
If name on record is different than that of applicant,indicate below: s t e property in question:Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Masters of Indiana, FILL D
Mortgage
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
501 N. Cross Pointe Blvd, Evansville, IN 47715 , NOV 1 3 2020
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
GIOSQN COUNTY AUDITOR
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Does applicant own property in If yes,what county? What Taxing District? Has this deduction en requested If yes,state amount of deduction
other county on properly for
in Indiana? ❑Yes No current year? Yes ❑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 • (6.1.2
Coun �� Date(m nth y,yeeaar
I/W ertify under the p alty of perjury t ove and foregoing information i ue and correct and that the applicant i a re Went of Indiana and
owne /contract buyer of the aforementioned property on date application is filed.
Sig a re f n e) Date(month,day,year)
�w� &,_ettey,& 11/06/20
ull resident address of applicant(num er and street,city, ,a d ZIP co
904 S. Robin Street, Princeton, IN, 47670
P•r•on-ut •ri y du -xecuted Powero • .rney or IC 64.1-12-0.7 Date(m}orth,days year)
lit
Address of aut orize. •erson(nu •er and street,city, a d ZIP co )
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000. 46560 .