HomeMy WebLinkAboutMortgage_Giesler STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION lounty Township Year
State Form 43709(R14/1-20) RECEIVED (A30,11 OZ-S
Prescribed by Department of Local Government Finance
_
INSTRUCTIONS: To be filed in person or by mail. Gi--)
1\„04_1}3v, ci 1 FEB 2 3 2022 File Mark
For led with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought.
County Auditor
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 are first due and payable. Ej County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Giesler, Dakota T.
Taxing District Key number/legal description Ret--oid number Pel_e_fuger
Princeton 26-12-18-101-000.036-028 Roberts Place 13/14 - 2-esfl _2_ I
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I 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?
146700.00 [ 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
LED PI Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller FEB 2 4 2022
Freedom Bank
Address of mortgagee or contract seller(number and street.city state,and ZIP
75 South US 231, PO Box 607,Jasper, Indiana 47547
Name of assignee or other owner or holder of mortgage G18S01'F Cpu Ni'? AUDITOR
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction en requested FiTi;i7itsie amount of deduction
other coun
on property for
in Indiana?tY 0 Yes NZ No current year? eS El No 1
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or cbntr 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 officef that the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20
„C)
Signature of County Auditor ,, County \ Date(mont.lysit,....
1/We certify under the penalty of perjury that abo a and foregoing information is ue nd correct and that the applicant is resid.m of Indiana and
owner I contract buyer of the aforementioned prop-6-11y on date application is filed.
.Znature(owner's full name) Date(month,day.year)
1-e 2/5/2022
quii. 1- 12AK -------
Fall resident address of applicant(number and street,city,state,and ZIP code)
903 S Robin Street, Princeton, Indiana 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)
— ..'--."----a..-.-....Inrluria irrenriannment uo to two and a half wakara and a fin.,ni in.v.-ca&ari Sin non