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Mortgage_Rhodes (2)
—•,a, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year FOR DEDUCTION FROM ASSESSED VALUATION State Form 43709(R11 6-09) RECEIVED Gibson Owensville 2022 4y T A ,. Prescribed by Department of Local ernment Finance sus INSTRUCTIONS: 1 � * I . FEB 1 6 2022 File Mark To be filed in person or by mail. J �/�' Filing Dates: 1.) Rea/Property: Must be completed and dated in the c= = da year for which the deduction is sought. Form filed with: Must be filed with the County Auditor or County Recorder o e county where the property is located on or before January 5 of the immediately succeeding calen.-r year. © County Auditor 2.) Mobile/Manufactured Home not assessed as real Property: Must file with the County Auditor of the County Recorder 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 d d or contract buyer see re cja oreverse i4)y y� wOC/� 7Ot' -©�./ * Ronald Rhodes and P mela Rhodes a (gyp Taxing District 0 2 Key number/legal description Recordrd pu er P .myer *PT SW SE 2 3 12&PT NE 11 3 12 1.54 AC G-4.- lJ 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? * $0.00 *$0.00 ��^^�� *$74.100.00 0 Yes 0 No If no,what is his/her exact share of interest? ■ If owned with someone other than spouse,indicate with whom JaJ If name on record is different than that of applicant,in icate elow: Is the property in question: Annually Assessed 1 8-y022 ID Real Property 0 Annually Assessed FEBGS7 G Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller * American Financial Resources,Inc. //L.' t� t .;r .• ' . Address of mortgagee or contract seller(number ant.fg rfi(kysiale,,.ae iSiA5rbb9e) * 9 Sylvan Way,Parsippany,NJ 07054 Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city, state,and ZIP code) Does applicant own property in any other In yes,what county? What Taxing District? Has this deduction been eq sted on property county in Indiana? for current year? 0 Yes No Yes ❑ No COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 20 , 20 Signature of County AuQFitg‘ ( ( County LSO`^ Date 4t(i grp�ryj,xe ).Z 11 \ applicant is a ore f idLennt.Jof(I_ndiana and I/We certify under the penalty of perjury that th a o and foregoing information is ru and correct and that the owner/contract buyer of the aforementioned property on date application is filed. Si na ure(owner' full name) 7 Date(month, day,year) .. s_ —i•,Jof r . h/ 14 -'� I- '"r ze`",6t , 1 t A,,.v_.�.l-e-4-/ 02/10/2022 Full resident address of applicant(number and street, city,state,and ZIP code) * 7864 W.State Rd 165,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)