HomeMy WebLinkAboutMortgage_Bailey (18) f STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
1, -- -,7.1)i FOR DEDUCTION FROM ASSESSED VALUATION Gibson rrbt5"'""` 2022
n: ;,,,., 1 State Form 43709(R14/1-20) RECEIVED
Prescribed by Department of Local Government Finance
(- JAN 2 8 ZOZZ File Mark
INSTRUCTIONS: To be filed in person or by mail. R , filed with:
Filing Date: Form must be completed and dated in the cale r year for which the deduction is sought. orounty Auditor
Must be filed or postmarked with the County A for 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)
Devon W. Bailey and Chelsey D. Bryan
Taxing District 131 w!A_C Key number/legal description Record number,,_ P,.ie number
C la I 26-14-18-302-000.751-007/Old Plan Pt Lt 6 Blk 5 ter', 0
2.— ' ,
ssessed value of real property as o 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 equitable owner?
$79,900.00 $95,733.00 ,&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: '�Is qthe property In question:Annually Assessed
/`� Real Property 0 Annually Assessed
d '_, ii_.JP➢/ Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Ruoff Mortgage Company Inc., ISAOA 0 1 202
Address of mortgagee or contract seller(number and street,city,state,and ZIP EEO
1700 Magnavox Way, Suite 220, Fort Wayne, IN 46804 .
Name of assignee or other owner or holder of mortgage
G1BS uNry r►uc�II01%
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 deduction a equested If yes,state amount of deduction
other county ,,r���ggq on property for as El No
in Indiana? ❑Yes ►W No current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c ntr t 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 i the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County,(�ydi or r�\�` A County Date(rmnth dyy,ygar)
`�Y 11 �I���/�,� Gibson 2- CJ.'C7
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resicent of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signat(turr/e�(owner's full name) 'Z �^ Date(month,[la/,year)
Full resident a c (n er and street,city,s eta,and ZIP code) �y � r 1 I it I/C7i�
219 W Washington Street, Oakland City, IN 47660
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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