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HomeMy WebLinkAboutMortgage_Bullington T="-- STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year >* * FOR DEDUCTION FROM ASSESSED VALUATION 71r State Form 43709(RI1 6-09) RECEIVED Gibson Princeton 2022 S, ;4o Prescribed by Department of Local Government Finance /ew FEB 1 5 2022 INSTRUCTIONS: 1 l p/�jt. 1( J 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 CountyRecorder 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-seer s actions lever:, e) �/ O CJ p s- ry * Kyle Bullington (`j — (/ ` `Q_3.1^� J gyp" Taxing District Key number I legal description Record number Pa umber *Va g *CLARKSVILLE 21 PT/22 PT `2-*0 2..2 ' 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. unpaid as of date of application legal or equitable owner? * $41,600.00 *$85,858.00 *$85,858.00 ❑x Yes ❑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 0 Real Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller * Bank of England T . Address of mortgagee or contract seller(number and street, city,state,and ZIP code)H ■ LED * PO Box 3490,Little Rock,AR 72203 1 11 Name of assignee or other owner or holder of mortgage FEB 1 5 2022 Address of assignee(number and street, city,state,and ZIP code) Does applicant own property in any other In yes,what county? What Has thisdeduction been req ested on property county in Indiana? ./ GIBSON COLIN i o+for.cli{� t year? E 0 Yes No Yes 0 No COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 20 20 20 Signature of CountxAudi r �yrst n_S 0 County �-Q n Dat anf.day,lO yea"L I I We certify under the penalty of perjury that t e above and foregoing information is and correct and that the applicant is`a iles�t of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Si e( wner's fu na ) Date(month,day,year) --r 9 / rj 02/04/2022 Full resident address of applicant(number and street, city,state,and ZIP code) * 609 S.Seminary St,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)