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HomeMy WebLinkAboutMortgage_Monroe (4) 1r- -4-:, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS \Coun l Township Year ,, . : FOR DEDUCTION FROM ASSESSED VALUATION CA3c),/\ G. 2022 '''' State Form 43709(R14/1-20) File Mark Prescribed by Department of Local Government Finance . INSTRUCTIONS: r' Form filed with: To be filled in person or by mail. ❑ Filing Dates: 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'-lvhere the County Auditor property is located on or before January 5 of the calendar year in which the property taxes ae first due . 0 County Recorder and payable. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Matthew Allen Monroe and Erin Sue Monroe Reco�r-d.,�nu�mber Page nu ber Taxing District Key number/legal description 26 23-16 100-001.926 024/1700 E Sierra I Record r2y I �f� • [Dr. Haubstadt, Indiana 47639 lJC7c 305 Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of(Mortgage/Contract indebtedness unpaid as of legae a equ table owner? assessment date,current year date of application ©YeS 0 No assessment date,current year $400,000.00 If no,what is his/her exact share of interest? IIf owned with someone other than spouse,indicate with whom the property in question: Annually Assessed If name on record is different than that of applicant,indicate below: F T T E Real Property ❑Annually Assessed ■l ■L./ Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller JAN 2 1 2022 Banterra Bank Address of mortgagee or contract seller(number and street,city,state,and ZIP code) P.O. Box 310, Marion, IL 62959 ,,�� ,yta Name of assignee or other owner or holder of mortgage GIBSON COUNTY AUDITOR Address of assignee(number and street,city,state,and ZIP code) Does applicant own property in any If yes,what county? What Taxing District? Has this deduct n een requested If yes,state amount of on property for deduction othercounty current year? Yes 0 No in Indiana? ❑ Yes 0 No A person is not entitled to this deduction unless the person has a balance on the person's mortgage or tra t indebtedness that is recorded in the county recorder's office(including any home equity line of credit that is recordedrecorder's office) hat i he basis for the deduction. COUNTY AUDITOR Deduction approved in the amount of: 20 1 20 20 1 20 1 20 20 1 20 County I�� Dot(V( f2nth,re3r) Signature of Cou Audit ; 4- Y1 ,V`' rT--' pplicant is a resident of Indiana I/We certify under the penalty of perju at the above an fo egoing information is true and correct and t at the and owner/contract buyer of the aforementioned property on ate application is filed. (Date(month,day year) Signature owner' full ame) � `7- ) t . 2....0 2Z t L// fir,.!f�<_` Full resident address of applicant(number and street,city,state,and ZIP code) 1700 E Sierra Dr., Haubstadt, IN 47639 (Date(month,day,year) Person authorized by duly executed Power of Attomey or by IC 6-1.1-12-0.7 Address of authorized person(number and street,city,state,and ZIP code) . _....__-_....,.I.,fin.not to exceed$10.000.