HomeMy WebLinkAboutMortgage_Martin (17) 41��T--t., STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownship
,� y- .a Year
FOR DEDUCTION FROM ASSESSED VALUATION
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> �'.'. �tj; State Form 43709(R14/1-20) 9 A�;'�
e,b Prescribed by Department of Local Government Finance
INSTRUCTIONS: To be filed in person or by mail. tf.tN J pie_
DEC 1.4 2020 File Mark
Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. XCounty 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)
Martin, Robert
Taxing District Key number/legal description Record number Page number
--W kin
n ' �G 26-19-18-301-000.865-026 20 20 5 O
Assessed value of real properly as of Mortgage/Contract indebtedness unpaid as of Mortgage/.Contract indebtedness unpaid as of Is the applica t the sole
assessment date,current year assessment date,current year date f application legal or eq able owner?
iZO , 707• 00 Yes ❑No
If no,what is his/her exact share of interest? If owned with s meone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: Is th-..roperty in question:Annually Assessed
i,L� 'eal Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller F I a
Home Point Financial Corporation ISAOA/ATIMA :? '. :I
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
9 Entin Road Suite 200 Parsippany, NJ 07054 DEC 14 2020
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) )0.1�� Ja
GIBSON COUNTY AUD3 i LW<
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction a requested If yes,state amount of deduction
other county on property 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 o con ct 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)tha is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 9 I ' 20 20 20 20 20
Signature of County Audi•r4 .- \Icsfl County \ Date �i,da r(ro y e r
I/We certify under the penalty of perjury ove and foregoing information's t and correct and that the applicant i a resid nt of Indiana and
own r/contract buyer of the aforementioned property on date application is filed.
ig ure(o ner's full Date(month,day,year)
ull res nt address of applicant nu ber and street,city,state,and ZIP code)
302 N Church St, Fort Branch, IN 47648
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)