HomeMy WebLinkAboutMortgage_Parker (13) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
tie* FOR DEDUCTION FROM ASSESSED VALUATION Gibson Owensville 2022
R4 State Form 43709(R14/1-20) RECEIVED
Prescribed by Department of Local GovernmentFinance {n� r....---- File Mark
INSTRUCTIONS: To be filed in person or by mail. g r o�y`^�+ / BAN 2 6' 2022 on" filed with:
Filing Date: Form must be completed and dated in the cale ar year for which the deduction is sought. I'A County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the prope
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. CrA 1 ounty Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Jennifer Renee Parker
Keynumber/legal description Rpaoprc,�„nutbe"� Page number
Taxing District `(jjL]U L '4)•-,`-11 Ste_
Owensville 26-18-07-101-000.202-022/Pt NW 7-3-11 (.408 A) t sole
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of dateMortgag of application I I Contract indebtedness unpaid as of Is legal applice itable the sole
er?
assessment date,current year assessment date,current yearpp est ❑ No
$69,100.00 $71,250.00
If no,what is his/her exact share of interest? If owned with someone other.than spouse,in ' to with whom
Is th roperty in question:Annually Assessed
If name on record is different than that of applicant,indicate below: Real Property ❑Annually Assessed
}ta Mobile Home(IC 6-1.1-7)
e,�
Name of mortgagee or contract seller FIL
, ..,
Mortgage Masters of Indiana, Inc., ISAOA
Address of mortgagee or contract seller(number and street,city,state,and ZIP cod O Y ZO')')
501 N. Cross Pointe Blvd, Evansville, IN 47715 1 G17 1 LG
Name of assignee or other owner or holder of mortgage V�
/LcC1/42t t ' ,u✓
Address of assignee(number and street,city,state,and ZIP code) GIBSON Co,...N 'iiauDITOR
Does applicant own property in any If yes,what county? What Taxing District? oHas n property deductio b requested If yes,state amount of deduction
other county 0 Yes ❑ No current year? Yes El
in Indiana?
A person is not entitled to 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's the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 • 20 20 20 20
Signature of County Auditor � County
�J�J , Wil Gibson
1/We certify under penalty of perjury that the""e and foregoing information is true and correcfand that the applicant is a re den of Indiana and
owner/contract buyer of the aforementioned property on date application is filed. Date nth day, ear)
Signet (ow''n full nar, l 7 c .�� ,n,- � � i
F side add ss of applicant(number and street,city,state,and ZIP code)
508 E Clark t, Owensville, IN 47665 Date(month,day,year)
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7
Address of authorized person(number and street,city,state,and ZIP code)
The penalties for perjury can include imprisonment uo to two and a half viceers and a fine not to exceed S10.000.