HomeMy WebLinkAboutMortgage_Gipson STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS ounty Township Year
/44"44t FOR DEDUCTION FROM ASSESSED VALUATION
1) State Form 43709(R13/10-15) o2,6
Prescribed by Department of Local Govern nt ina RECEIVED INSTRUCTIONS: nDAAI-ce I JAN 0 3 2022 File Mark
To be filed in person or by mail. F rrn iled with:
Filing Dates: 1) Real Property:Must be completed and dated in t alendar year for which the deduction is sought.
Must be filed or postmarked with the County Audi r 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
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)
Gipson,Richard Kyle and Brittamy Marie
Taxina District Key number/leaal description Record number, Pa umber
Ft.Branch 26-19-18-302-000.364-026/HILLCREST 21 -'7-...,=,Z t
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 or equitable owner?
153100.00 0.00 181.115.00 W Yes lip 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 the property in question:Annually Assessed
x Real Property 0 Annuaity Assessed
Mobile Home(IC 6-1.1-7)
Name of mortaaaee or contract seller i
United Wholesale Mortearze.LLC I
Address of mortgagee or contract seller(number and street.city.state.and ZI e
PC)Bnx 70207R.Florence.SC 29502-207R
Name of assignee or other owner or holder of mortgage -JAH-9-540ZZ
Address of assignee(number and street.city.state.and ZIP code)
' t"WilitiOit
GiesoN Does applicant applicant own property i ny If yes.what county? What Taxing District? Has this deduct n n requested If yes.state amount of deduction
other county on property for
in Indiana? Eli Yes No current year? A Yes El No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage o co tract 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)th is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Audito County
\ Date(ntort.
I/We certify under the penalty of perjury that t -e a ve and foregoing information is tr e nd correct and that the applicant is a res- ent of Indiana and
o er I contract buyer of the aforementioned property on date application is filed.
lg tur nets f )
.- Date(month.day.year)
...,C,-- na :1 a-
-fi 1/1 llahlZ C41.4 4,9 '-'"
I r ident addressof appli t(number a st eet.city.state,and ZIP c
800 E Sinclair St.Fort Branch.IN 47648
Person authorized by duly executed Power of Attomey 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)
Thp nenalties for n.rilin,can inr-7111ri.irrIneic,.....-rm...,......<..-- .<- <-., --..- ---.-,----4<-......,-,,..el51n non