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HomeMy WebLinkAboutMortgage_Edwards (2) ,•; �f'4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year f, 'fit FOR DEDUCTION FROM ASSESSED VtL PT_ION ' ,l ��: " t�)'— G'son 021 2020 �� ) -�,;� State Form 43709(R14/1-20) � •' Prescribed by Department of Local Government Finance — NOV 3 0 2020 viok `� File Mark INSTRUCTIONS: To be filed in person or by mail. Form fled with: Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 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 and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Edwards, Taylor A/Jessica L Page number 021 26-17-12-400-001.792-021 2020 4864 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 cwner? $ 164,600 c6Yes ❑No If no,what is his I 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 ®Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Nationstar Mortgage- Mr Cooper Address of mortgagee or contract seller(number and street,city,state,and ZIP code) Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) . 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? Lives ❑No current 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 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 Date(month,day year) /We certify under the penalty of perjury that 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. , Signature(owners fu I name) Date(month,day,year) Ful i ent address of applicant(num er and stree, state,and ZIP code) 6452 S SR 65, , p, ,,,,s,,aC(2_t /J 'l C (o Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year) t Address of authorized person (number and street,city,state,and ZIP code) The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000. RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Name of applicant Name of mortgagee or contract seller Edwards, Taylor A/Jessica L Nationstar Mortgage- Mr Cooper Date filed(month,day,year) Amount of indebtedness . Taxing District . $ 164,600 021 Key number/legal description 2020-4864 26-17-12-400-001.792-021 Signature of County Auditor/County Recorder County Date(month,day,year) G'son .