Loading...
HomeMy WebLinkAboutMortgage_Newton (2) t.'"r�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year FOR DEDUCTION FROM ASSESSED VALUATION a` i err. Gibson OZ.?. 2020 �;Siis• ; State Form 43709(R14/1-20) era Prescribed by Department of Local Government Finance b aECEVED File Mark INSTRUCTIONS: To be filed in person or by mail. OSJ�-� JAN2021 Form filed with: Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. RE 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. 0 County Recorder See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) . - Tara Newton Taxing District Key number/legal description Record number Paab Owensville 26-17-01-404-000.111-022/SMITH ADD 1 0 2 0 1/V�' (J� • 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? $0.00 $100,225.00 Q Yes ❑ 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 the property in question:Annually Assessed FILE 114. Real Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Mortgage Masters of Indiana, Inc. %Ml O'5•202� Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 501 N. Cross Pointe Blvd., Evansville, IN 47715 'cizzc,,,( 1•1'- ;' Name of assignee or other owner or holder of mortgage GIBSON COUNTY r;i;-. R 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 be requested If yes,state amount of deduction other county on property f r in Indiana? El 0 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 year) I `e 1 -5 Gibson t• (�2 I/We certify under penalty of perjury that the above an nformation is true and correct and that the applicant is a resident of Indiana and owner/co ract buyer of th aforementioned property on date application is filed. yature(o n ful e) ` 6) DO n2 y�q 0OLOA es nt address of applicant(number and street,city,state,and ZIP code) i� L 308 N. Main St., Owensville, IN 47665 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) The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.