HomeMy WebLinkAboutMortgage_Hawkins (4) „ :;.. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
• - '' FOR DEDUCTION FROM ASSESSED VALUATION r-�
}\ !r State Form 43709(RI3/10-15) ��� Q 4,
- Prescribed by Department of Local Government Finance
INSTRUCTIONS:
n -� R (g1Z. File Mark
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To be filed in person or by mail. Form f ed with:_, — 2.
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deductio is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is County Auditor
located on or before January 5 of the immediately succeeding calendar year. County Recorder
2) Mobile/Manufactured Homes 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 deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Hawkins, Dalton E.
Taxing District Key number/legal description Racer iurrn rr Page number
Princeton 26-12-07-401-001.609-028 CC77<<JID.,,, Lj,/ 8--
Assessed 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 equitable owner'?
$71,200.00 El 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 property in question:Annually Assessed
IZ1 Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller FILED
Bank of England
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
P.O. Box 3490, Little Rock , AR 72203 Name of assignee or other owner or holder of mortgage FEB 9 2022
Address of assignee(number and street,city,state,and ZIP code)
.e `a 4
Does applicant own property n any If yes,what county? What Taxing District? t t � - rAt `ipli1O&lf yes,state amount of deduction
other county on property for
in Indiana? ❑Yes 1(�0000'�j�� currentyear?f Yes ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or on 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 is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 i/�pJ� 20
Signature of County Auditr(Do t `n, County Datg,( )tk,, �`Y
!We certifyunder the penaltyof perjury(that the a foregoing information is true d corre and that the applica isl a` sident of Indiana and
I
owner/contract buyer
ff/o/fthe aforementioned property on date application is filed.
rgnature(o nema�N' c Date(month,day,year)
02/07/2022
ull resident address of applicant(number and street,city,state,and ZIP code)
325 South Seminary Street 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)
y --1-1— -__..._- _..-..------,,,,„.head ir„„n.„„„,ant tin In twn and a half veers and a fine not to exceed$10.000. < ->a O