HomeMy WebLinkAboutMortgage_Jones (4) 4;0 o. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
I"Ill FOR DEDUCTION FROM ASSESSED VALUATION Gibson Patoka -. 2022
R�. State Form 43709(R14/1-20) RECEIVED 11
.``0 Prescribed by Department of Local Gov ent Finance ..—..—--
c 1 JAN 1 9 2022 File Mark
INSTRUCTIONS: To be filed in person or by mail. 0 orm filed with:
Filing Date: Form must be completed and dated in the eaten a year for which the deduction is sought. County Auditor
Must be filed or postmarked with the County Au or or County Recorder of the county where the propert
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 restrictions on reverse side)
Brent E.Jones and Laura K.Jones
Taxing Distric Key number/legal description Record number Pa�epur)Iher
` �Si)
Patoka W • 26-11-08-200-003.636-027/Pt SE NE 8-2-11 (3.049 A) r� `2 J�
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 e itable owner?
$197,800.00 $172,500.00 4k I Yes ❑ 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 roperty in question:Annually Assessed
F I L � Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Springs Valley Bank&Trust Company JAN 2 0 2022
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
1500 Main Street,Jasper, IN 47546
Name of assignee or other owner or holder of mortgage IPike/t,q,,/ C .Y�<,Z`.4":. ...,.)
GIBSON COUNTY AUDITOR
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property inn any If yes,what county? What Taxing District? Has this deduct' n en requested If yes,state amount of deduction
other county ❑ ?
Yes l,.f No on property Yes El No
in Indiana? Ye current year?
A person is not entitled this deduction unless the person has a balance on the person's mortgage or ont ct 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 41, 20 20 20 20 20
Signature of County Audit r r County Date r37or 7y,y„ —
`('Yll v 1_„S Gibson , � G)r
I/We certifyunder penalty of perju ' at the above and foregoing information is true and correct and that the applicant is a re4ident f Indiana and
owner/contract buyer of
he aforementioned property on date application is filed.
Si �(owner's full na ) - Dater/nth,TAT)
, 7c_v------ -7 't--
address of app c t(number and street,city,s ate,and ZIP c e)
4750 W State Road 6 , 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)
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