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Mortgage_Rutko
`="2': STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year ' l FOR DEDUCTION FROM ASSESSED VALUATION S t' State Form 43709(RI1 6-09) RECEIVED Gibson Owensville 2022 t.,, „> Prescribed by Department of Local Government Finance ,ais INSTRUCTIONS: R ,.. o FEB 0 2 File Mark To be filed in person or by mail. Filing Dates: 1.) Real Property: Must be completed and dated in the calendar year for which the deduction is sought. Form filed with: Must be filed with the County Auditor or County Recorder of the county where the property is located on or before January 5 of the immediately succeeding calendar year. © County Auditor 2.) Mobile/Manufactured Home not assessed as real Property: Must file with the County Auditor of the county where the property is located during the twelve(12)months before March 31 of each year the County Recorder deduction is sought. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) r/ ) * Jordan Rutko and Brianna Grimm "L{,p --I`1 --]'Z,r'- 60"-06Li,'2,69 L/�'( 2-z Taxin District Keynumber/legal description Reerd^n r P e n tuber * g 7 *PT NE SE 12-3-12.42 AC , Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness Is the applicant the sole March 1,current year as of March 1,current-year. , M unpaid as of date of application legal or equitable owner? * $0.00 *$0-_ K2, (sir NJ v" *$132,554.00 II 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 the prop nruestion:7Annnnually Assessed 0 Real P rly� t Arlbi Ilh ssed rMbi� m IC 6-1.1-7) Name of mortgagee or contract seller * GVC Mortgage,Inc. FEB 0 2 2022 Address of mortgagee or contract seller(number and street, city,state,and ZIP code) !� * 600 Corporation Dr.,Suite 200,Pendleton,IN 46064 ��a Name of assignee or other owner or holder of mortgage ,.-^ (j O / ck ,� :":1 b !y:;;., _ VI Q,/ /� GIRSON COUNTY r.b:rtTOR Address of assignee(number and street, city,state, and Zli n.)M/y, 104��n� Does applicant own property in any other In yes,who ia- -�Ro its deduction been r uested on property county in Indiana? Drawer NO rrent year? 0 Yes id No Yes 0 No Card NO. Deduction approved in the amount of: 20 20 20 20 20 20 20 Signature of County A ��` � �yr� s County `�O(1 D q(rnegt d re ) I/We certify under the penalty of perjury that the above oregoing information is tr a nd correct and that the applicant s a r siays.dent of Indiana and owner/contract buyer of the aforementioned property on date a lication i filed. Sign r (own lI name Date(month,day,year) 01/25/2022 Full resi ent address of applicant(number and street, city, state,and IP code) * 6 S.Mill Street,Owensville, IN 47665 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)