HomeMy WebLinkAboutMortgage_McCowen . • — ,... ...„ -, ,.„ .. „ -. . . , . .. ....... . . ..
STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS :: County
Township -;l - Year ,it- tglo, FOR DEDUCTION FROM ASSESSED VALUATION - -, .--- . .
CIS ! 202Q,
":,,*,i-i--e.-: Prescribed by Department of Local Governmen Pinar-MO - RECEVED .
INSTRUCTIONS: la— AChli 1141C to(eS — File Mark
To be filed in person or by mail. 1 JAN 0.4 1021 F rm led 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 is County 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 .:
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where the property is located during the twelve(12)months before March 31 of each year the deduction is sought. ' ., .
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See reverse side for additional instructions and qualifications
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Applicant(owner or Cent-riot buyer:see restrictions on reverse side)
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Jarret McCowen ,. .. . . ...(9/2-k/ZOZO
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' Taxing DiStricteVa Key number/legal description R7red)nlmtler Page number
ataka44.94Affieitr : 26712-167304-001.0297028 . 0 06001443(Z_
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Assessed value of real property as of ,1Mortgage/Contract indebtedness unpaid as of ,•.!'potiittgagf.TCOht4ittridabiadness unpaid as of . Is the appliant,the-aele
assessment date,current year assessment: date,current year CO;!q1P-di,,F,Pli91:: ,„ „ legal#,.,. MO 0W.f.10.I.1,
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- Yes. .1=1 MI
If iiti:What is his!her exact share Ofintereat? ' ' . ..-i`;jf owned with iilomeoneoher than spouSK101 -. ...-Syith whom
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'If nen-ie-on record is than that of.aiiplicant,indicate below: ' ' I;'F01.:.,„.„frO.00-9,in question:Annua4,:ASSp4!...00(:
:,,., 110:Oro:party • ' nuallyi4sessoct;
bile Home(IC 0,1.1-7)
Name of mortgagee or contract seller United Eidelity Funding Corp, ISAOA/ATIMA
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Address of mortgagee or contract seller(number and street,city,state,and ZIP code)11.00 NW Briarcliff Parkway, Suite 275... Kansas,..City„ MO.64150.. .......„: ... _tot 0.5 MY
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Name of assignee qr other owner or holder of mortgage . .
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Address of assignee(number and street,city,state,and ZIP code) • '''''--- - — — -Lithit 'I' - ' •. •'WFt
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064:',aPPliOaht own property in any Y,jf yes,what county? What Taxing District?''"'"'' :Has this deduct be requested-. If yes state amount of Ideduction
*Weetattntit ,,,,,,„- ,on property for
• Inifniffaiia? L..IXes.', 0 No i:. . „. ;.. .. .... ... ... . .. .current year?.:. es El No
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A person is not entitled to this deduction unless the person has a balifice-orithe P-a isOri's mortgage Cii-- tractindetitedneis that isie corded in the county --'
recorder's office(including any home equity line of credit that is recorded in thecounty recorder's offic th t is the basis for the deduction.
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COUNTY AUDITOR
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Deduction approved in the amount of: _ :.
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Signature of County%i 20 20 x- County th„'=ar)_ .
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I/We certify under the penalty of perjury that the bove di foregoing information is tr e a d correct and that the applicant i a r ident of Indiana and owner!contract buyer of the aforementioned,prop onte application is filed. I. .
SignettieeloWner's.01,narne3:'-- .::' ' . - . . ..
"Date(month,day,year) . •
Full resident address of applicant(number and street,city,state,and ZIP Code)
,..1.607.,.„S.Boulevard Place, Princeton, IN 47670 .. .
Person authorized by'diilji executed Power of Attorney or by IC 6-1.1-12-0.7 ' .Date(month,day,year)
'Addratt'Of authorized person (number and street,city-state,and ZIP code) ' -
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