HomeMy WebLinkAboutMortgage_Johnson (23) 4e414 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
•
Y .. '= ` FOR DEDUCTION FROM ASSESSED VALUATION
t ,1%$- �6,� State Form 43709(R11 6-09) Gibson Princeton 2021
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le Prescribed by Department of Local Government Finance RECEIVED
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INSTRUCTIONS: new. ,It I File Mark
To be filed in person or by mail. FEB 2 4 2021
Filing Dates: 1.) Real Property: Must be completed and dated in the calendar year for which the deduction is sought. torin filed with:
Must be filed with the County Auditor or County Recorder of the county where the property is located
on or before January 5 of the immediately succeeding calendar year. County Auditor
2.) Mobile/Manufactured Home not assessed as real Property: Must file with the County Auditor of the 0 County Recorder
county where the property is located during the twelve(12)months before March 31 of each year the
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer—see restrictions on reverse side)
* Rex M.Johnson and Christina Johnson
Taxing DistrictKey number/legal descriPtin Record number Page number
* 2� * HALLS 2ND 33 PT `6 ea.-01 -301—Ook . 6 2c 0 28 *302.‘ '.C*
Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness 1 Is the applicant the sole
March 1,current year as of March 1,current year. unpaid as ofte of application legal or equitable owner?
* $0.00 * $0.00 . ...$0.00U 1 f—/J ❑x Yes 0 No
If no,what is his/her exact share of interest? If owned with somione 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
❑x Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
* Mortgage Masters of Indiana,Inc. FILE I
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
* 501 N Cross Pointe Blvd,Evansville,IN 47715 FEB B 2021
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) i
g z r 1a. Ji1,,a
Does applicant own property in any other In yes,what county? What Taxing District? t'IBFias thisQaeoui ctio en' nested on property
county in Indiana? for current year?
❑ Yes No X Yes 0 No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of�Cloun Au itor CO County JO� Date1mons year)
2`
I/We certify under the penalty of perjury that the above and foregoing infor Atio is`lru and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property o date application is r
toure(o er's 11 me) 15 S 'ate(mot,q' ye
Full resident addres of applicant(number and street,city,state,an.ZIP co l
* 512 S.Hall Stre ,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)