Loading...
HomeMy WebLinkAboutMortgage_Kissel (8) , STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year . jr� I FOR DEDUCTION FROM ASSESSED VALUATION �ZL State Form 43709(R14/1-20) Gibson t' 12� • "—js? Prescribed by Department of Local Government Finance RECEIVED �/ • /p p N File Mark fNSTRUCTIONS: To be fried in person or by mail. tlIWi�t t FEB 2 i 3 201� Form filed with: Filing Date: Form must be completed and dated in the calendar year f r which deduction s soug t. © County Auditor Must be filed or postmarked with the County Auditor or County Re er 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. ❑ County Recorder See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Seth Kissel Taxing District `,..--,, Key number/legal description Record number PagQ.{iymb* Patoka i j,S 26-11-36-300-000.288-027 2-0 2-? xiV Assessed value of real props y as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole assessment date,current yea assessment date,current year date of application legal or equitable owner? $207,000.00 ©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 ALE ®Real Property ❑Annually Assessed F Mobile Home ss 6-1.1-7) Name of mortgagee or contract seller ai- Heritage Federal Credit Union Address of mortgagee or contract seller(number and street,city,state,and ZIP code) FEB 2 4 2022 5388 Old State Hwy 55, Newburgh, IN 47630 Name of assignee or other owner or holder of mortgage 1)2 Address of assignee(number and street,city,state,and ZIP code) GIBSON Does applicant own property in any If yes,what county? What Taxing District? Has this deduction `'n requested If yes,state amount of deduction other county on property for in Indiana? ❑Yes ®No current year? rip;Yes 0 No A person is not entitled to this deduction unless the person has a balance on the person's mortgage or••nt >et 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 20 Signature of County Au r County Date(mon day,Vear) nil � ), " - -"� ' 1/We certify under the penalty of perjury •• above and foregoing information is tru and correct and that the applicant is resid nt of Indiana and owner I contract buyer of the aforementioned property on date application is filed. Signatu a(owners full name� Date(month,day,year) Al 02/22/2022 Full re dent address of applicant(number and street,city,state,and ZIP code) 1035 W 400 S, 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) The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000. RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Name of applicant Name of mortgagee or contract seller ,j "� Seth Kissel L1 ■ it Union p° n Amount of indebtedness Ta g District Iti rn Date filed(month day,year) s toka N rZ �L y - `Lo2Z $207,0 o rn Key number/legal description N�� CO 26-11-36-300-000.288-027 /' FEB 2 4 2Q Signature of County Auditor/Cot3 Re rK—....,___....1 County Date Anonth, ay,ye �� 'son ,, r�7 Z GIBSON GOu",,, " .-.,,,.,'TOR.