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HomeMy WebLinkAboutMortgage_Neufelder (8) ;�`� -rn� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS - Count' -_-1(a,rnshlP_ _ Y ,r--1 i;y„-- y `" FOR DEDUCTION FROM ASSESSED VALUATION i " Stale Faun i13700(R la f 1-20 Gibson Union f{ 2020 �: r' Prescribed by Department of Local Government Finance J___._ File Mark INS]RUCTIONS: To he titnd in person or by mail. )norm filed >i5 Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought County Auditor Must be bled or postmarked with the County Auditor or County Recorder ot Ma county whero the properly Is l located on or before January 5 of the calendar year in which the propertyluses are litst due end payable. , j County Recorder 1 Soo reverse side for additional instructions and qualifications. „�� I gpp)rcant(orenrr or contract buyer-see restrictions on reverse side)—' J q./. — --- ---I Joshua M./Cassandra N.Neufelder 812-677-3286 Y- j 1 Truing District — Key number/legal description iti Rec^ce number PQaoa number I Union 26-18-28-100-002.420-025 [0 2' { (l q 0 I •_ 1 Assessed of real properly as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole assessmentnt date,lue current year assessment dale,current year date of application legal or equitable owner'? I 290,565 [d Yes ❑No If no,what is his I her exact share of Interest? (If owned with someone other than spouse,indicate with whom I If name on record is ditterent than that of applicant,indicate below. ) Is the properly in question:Annually Assessed ®Real Property ❑Annually Assessed _ Mobile Home(IC E-1.1-7)i _ F Name of mortgagee or contract seller Quicken Loans,LLC _T LE D Address of mortgagee or contract seller(number and street,city,state,and ZIP cods) ! Name of assignee or ether owner or holder of mortgage NOV ��9 L020 —{ IV V 1 Address of assignee(number and street,city,state,and ZIP code) Does applicant own property In any If yes,what county? I What Taxing District? Has thi . t n ;ei ref e tetl1ilt r•e state amount of deduction I inner county ❑ © G r�i N.1-dr°N-AI1.Y ,4J)rl I(j-O i in Indiana? Yes No MY' Y C!'f' _I-tY6 e car. 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 Signals re of , my Auditrt / Z. - A County Date(more,day,tm 0 ' /'� Gibson / / 112,_20 ZQ t I/We cer'.fy under the yenalty ,perjury that the'abov9find foregoing information is true and correct and that the applicant?s a resident of Indiana and I owner/contract buyer of the aforementioned property on date application is filed. 1 Signature(owner s full name) Date(month,dap'yea') wJ�---- 1111 z(ao 2 Full resident add_ss of applicant(number and street,city,state,and ZIP code)8800 450 W, Owensville, IN 47665 i Person author)ed by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(moron,day:year) i 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$i 0,000. { RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Name of applicant Name of mortgagee or contract setter Joshua M./Cassandra N. Neufelder 812-677-3286 Quicken Loans, LLC Date tiled(month,day,year) Amount of indebtedness Taxing District -____ 11/12/2020 $290,565 I Union Key number/legal description .... `"'----- "-_._ 26-18-28-100-002.420-025 Sign a of CountyAydrtor/ ounly r ecorder County -i tine :- -- ' ( Gibson { ll. _l_._Z/2DC�2 ,_ .. ____._—�_._ __.__