Loading...
HomeMy WebLinkAboutMortgage_Sink ,. -� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year _-�-'.sib_ '� �. a ..., r.m, FOR DEDUCTION FROM ASSESSED VALUATION ti State Form 43709(R14/1-20) Gibson Columbia 2021 Prescribed by Department of Local Government Finance RECEIVED FEB 10 2021 File Mark INSTRUCTIONS: 1?.„e_Alcoi , k Form filed with: To be filed in person or by mail. Filing Dates:1)Real Property:Must be completed d 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 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 yearthe deduction is sought. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Erin A.Sink, Taxing District Key number/legal description Record number Pa er Columbia ©�k ge2-14-07-400-001.379-006 -02\ 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 legd,or equitable owner? $117,600.00 186,067.00 Yes 0 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 property in question:Annually Assessed rA Real Property 0 Annually Assessed FILED Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Cardinal Financial Company Address of mortgagee or contract seller(number and street,city,state,and ZIP code) P.O. Box 961292, FT Worth, TX 76161-0292 FEB 1 0 2021 Name of assignee or other owner or holder of mortgage / g ( city, code) GIBSON pIa Y AUDITOR i Address of assignee number and street, state,and ZIP Does applicant own property in an If yes,what county? What Taxing District? Has this deduc'on n requested If yes,state amount of deduction other county on property for in Indiana? ❑Yes No current year? Yes 0 No A person is not entitled to this deduction unless the person has a balance on the person's mortgage or o ract 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(mon day year)ici6c/icn I/We certify under the penalty of perjury that the a &and foregoing information is t i;e and correct and that the applicant is a resident of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Signatuers full narpg) Date(month,day,Year) /u/ (im `�), 02/02121 Full resident address of applicant(number and street,city,state,and ZIP code) 272 S 1225 E, Oakland City, IN, 47660-8146 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. 47257