HomeMy WebLinkAboutMortgage_McPhee ,-,...„FrAtt, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
al '-',P-•:>-'1 FOR DEDUCTION FROM ASSESSED VALUATION
5 -•'!.:', 31f. State Form 43709(R14/1-20) Gibson
44- ." Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS:To 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.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property County Auditor
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 reatItEon reverse iide
—Sthn 1 01-4-2-
Taxing Dis00.-N\ Key number/legal d 4 ription
26-14-18-303-001.142-007 Record nug..b2-
..,. Page number
rDixie McPhee C) •
i II--
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 o e 'table owner?
87,373.00 Yes CI 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: t e property in question:Annually Assessed
Real Property 1:11 Annually Assessed
Name of mortgagee or contract seller F 1 L 14,D Mobile Home(IC 6-1.1-7)
Caliber Home Loans,Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP co AN i 0 2022
1525 S Belt Line Rd,Coppell,TX 75019
Name of assignee or other owner or holder of mortgage
72e.,C448,../ &. .t4V.i4,1•••,)
Address of assignee(number and street,city,state,and ZIP code) GIBSON COUNTY AUDITOR
Does applicant own prope 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 r----,
in Indiana? 0 Yes o current year? LJ Yes El No
A person is not entitled t is eduction 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, ' nar,r)rder's office)that is the basis for the deduction.
/A -3 0 ,,Z I
Deduction approved in the amount
'
20 20 cilicg ....-- i /(7
20 20 20
Signat •of • •• •. .or
Cn 1 (11.-LCIPW40 7V7fr Date tg:3;tyr,14),..,
.-- -)--/1---.EA-1 tje. 1-70607-7
I/We certify under the pen,_ , :and correct and that the applica t is a sident of Indiana and
owner/contract buyer of the aforementioned property on date application IS 1-11Uu.
' r%.(ormet me) Date(month,day year)
1.-- December 30,2021
Full resident add ss o applicant(number and street,city,state,and ZIP code)
635 West Division Street Oakland City ,IN 47660
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7
, le(m De:Mybeearr)30,2021
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.
RECEIPT FOR FILING SFT10.2 0 T tio OR CONTRACT INDEBTEDNESS
Name of applicant a , ortgagee or contract seller
Dixie McPhee Caliber HOme Loan, Inc.
Date filed(month,day year) ,-, 2._ Amount of indebtekcineis ift,022. Taxing District
'L JAIN x 8y173.00 007
Key number/legal description
9,-.42:2, `--. \V?
26-14-18-303-001.142-007 ,,c. j , ..
Signature of County Auditor/Co nty R rdel GIBSON CO ounty ‘‘.,(.... .r") Date(month day,yeat)
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