HomeMy WebLinkAboutMortgage_Absher STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Clunty Township Year
•;,.*'-,,,_--... .:'\ FOR DEDUCTION FROM ASSESSED VALUATION
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State Form 43709(R14/1-20) a_fQn 1- -- 2022
Prescribed by Department of Local Government Finance e:fl)e Mark
INSTRUCTIONS:
To be filled in person or by mail. For with:
Filing Dates: Form must be completed and dated in the calendar year for which the deduction is sought.
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 ae first due County Auditor
and payable. O County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse sid )
Kevin Eugene Absher 4--- NAV&}t."is- 3slcie_),-
Taxing District Key number/legal description 26-14-18-203-000.226-007/210 E. 1st St., RAorsil number . Page number
Oakland City, Indiana 47660 .d-,56,47,
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appr nt the sole
assessment date,current year assessment date,current year date of application legal or uitable owner?
$130,534.00 es El 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 p perty in question: Annually Assessed
al Property El Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
United Wholesale Mortgage, LLC ISAOA/ATIMA FILED Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
PO Box 202028, Suite 102, Florence, SC 29502-2028
Name of assignee or other owner or holder of mortgage FEB 7 2022
Address of assignee(number and street,city,state,and ZIP code)
-)2ez,"e"2 fle7 ,•
Does applicant own property in any f yes,what county? What Taxing District? Has this deducGie .2.1. tit y . :`,I, state amount of
other county on property for Ai de .e. ion
in Indiana? 0 Yes 0 No current year? Ye. w Pr".
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or cont a in. .. -. -ss 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)th is . - or the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 2) 20 20 20 20 20
Signa re of oun uditor in Ase.,:x_.( County Date(month,day,year)
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I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana
and owner/contract buyer of the aforementioned property on date application is filed.
Sigr._,LaE. ......_ir (owner's fyq name) Date(month,day,year),
Full resident address of applicant(number and street,city,state,and ZIP code)
210 E 1st St.,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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.