HomeMy WebLinkAboutMortgage_Schenk Jr 17,7N STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
' ? 'i, Gibson 0 2.8 2021State Form 43709 R14/1-20) RECEVED
'eie Prescribed by Department of Local Government Finance
Al.1d�/ FEB 12 2021 File Mark
INSTRUCTIONS: To be filed in person or by mail. Form filed 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)
Chad Schenk,Jr.
Taxing District Key number/legal description Record number Page number
26-11-12-101-002.248-028/Parcel ID(s): e).02 t �Q
Princeton 26-11-12-101-002.248-028,Tax/Map ID(s): SUNSET TERRACE 7
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 r quitable owner?
$0.00 $111,000.00 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 property in question:Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name ofmortgagee or contract seller
Mortgage Masters of Indiana, Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
501 N.Cross Pointe Blvd., Evansville, IN 47715E i 2�2�
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) 2Zte--4-(/-L C.r.• l z;
GIBBON COUNTY AUDITOR
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? ❑Yes No current year? Yes El No
El
person is not entitled to this deduction unless the person has a balance on the person's mortgage or on act 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)
f l Gibson 2. 11.10 2(
I I We certify under penalty of perjury th e above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner 1 contract buyer of the aforementioned property on date application is filed.
nature(owne FiTame)_,_ F7 / • Date(month,day,year)
�-,� �./-— � � /—i3 2 2/
Full resident address of applicant(number and street,city,state,and ZIP code)
218 S Spring St, Princeton, IN 47670 •
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.