HomeMy WebLinkAboutMortgage_McKannan (8) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION Gibson 0 Z 2022
State Form 43709(R14/1-20)
Prescribed by Department of Local Government Finance RECEIVED
....---_ File Mark
INSTRUCTIONS: To be filed in person or by mail. :1Q.5_se ) JAN 2.1?2022
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. ,F,6 filedCount with:
Filing Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Nicholas W. McKannan and Jordan L. McKannan
Taxing District Key number/legal description \ Record number 7 r tei
Pr".t •n 0(2_,?"— 26-11-16-400-003.172-027/Pt W1/2 E1/2 16-2-11 Assessed value 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 quitable owner?
$0.00 $204,250.00 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:
FILED Is Repraor Rertroypinecirtuyestion A:Annuallynnually
Assess
Assesseded
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
AmeriFirst Financial Corporation FEB 0 1 2022
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
950 Trade Centre Way, Suite 400, Portage, MI 49002
Name of assignee or other owner or holder of mortgage 47224C417.1Le.t. :'::::' 'Zi..:7' .........
GIBSON COUNT v --,0DITOR
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property i rt y If yes,what county? What Taxing District'? Has this deductio be n requested If yes,state amount of deduction
other county ..—i on property for
in Indiana? _ es No current year? Yes 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c n act 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"s the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 1-- 20 20 20 '
20 1 20 20
Signatur Cou udi County Date m
Gibson el.,
I/We certify under penalty of perjury t the above and foregoing information is true and correct and that the applicant is a resi nt f Indiana and
owner I contract buyer of the aforementioned property on date application is filed.
rt5aera full narn40_,_
X ate(month,day,year)
"In 00 1,a..t,
Full reel ent address of applicant(number and street,city,state,and ZIP code)
1251 S. Lookout Mountain Dr., 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)
The nanAltie.s Mr nerhov e:an innheie imnriennmant,,,,ty,h..,.,..-i...P.....I.0........,......-1 s:.fin plet tri hvr-hArt 5E141 Mr)