HomeMy WebLinkAboutMortgage_Barney (2) /4.f.- -i STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS ounty Township Year
47:410t FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709(R13 i 10-15) RECEIVED
Prescribed by Department of Local Gover ent Finance
...---- File Mark
INSTRUCTIONS: 1 10VVIkk ( JAN 0 6 2022
To be filed in person or by mail. F.rm . - with:
Filing Dates: 1) Real Property:Must be completed and dated the calendar year for which the deduction is sought.
Must be filed or postmarked with the County ditor or County Recorder of the county where the property is rio. County Auditor
located on or before January 5 of the immediately succeeding calendar year. III 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)
Barney,Lance J ,
Taxing District e."-----.' Key number I legal description Record nunf2._. Pa9mber
Patoka ..rD5 26-05-32-100-002.121-027/PT NW FR 32 1 10 14.87 AC
Assessed value of real property as Of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assesment date,current year assessment date,current year date of application legal or equitable owner?
23700.00 221000.00 dSL1 WC).°C)
i V 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 the property in question:Annually Assessed
x Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortaaciee or contract seller
Regions Bank dba Regions Mortgage ISAOA/ATIMA Fi.L 74. D
-1 —I
Address of mortgagee or contract seller(number and street.city,state.and ZIP code)
20S0 Parkway Office Circle.FlOnVer.Al 35244 JAN 0 7 2022
Name of assignee or other owner or holder of mortgage
.,._
Address of assignee(number and street.city,state.and ZIP code)
GIBSON COUNTY AUDITOR
Does applicant own prope in ny If yes.what county? What Taxing District? Has this deducti been requested If yes.state amount of deduction
other county on property for
in Indiana? Ell Yes o current year? Yes 0 No
A person is not entitled to his deduction unless the person has a balance on the person's mortgage or 4act indebtedness that is recorded in the county
recorder's office(including any home equity line of credit that is recorded in the county recorders office)th is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Auditor County 1Date( lal cy.,ar,)
Signature of County 2......_,
C,
I/We certify under the penalty of perjury that the above a .foregoing information is tr ,.. .nd correct and that the applican Is a r sident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed. -----.,,
' n ture(owner:s lull name),,,s_
Full resident address of applicant(number and street.city,state.and ZIP code)
560 E Old Petersburg Rd.Princeton.IN 47670
Person authorized by duly executed Power of Attorney or by IC 6-1. 0 1-12- .7
Address of authorized person (number and street,city.state.and ZIP code) e(month.day year)
.
Date(month.day.year)
„ ._