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HomeMy WebLinkAboutMortgage_Gibson „ -�* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township" Year 7 ; j. FOR DEDUCTION FROM ASSESSED VALUATION 9 Gibson Qa^r 2022- -'1 �..r State Form 43709(R14/1-20) k.` s ..r Prescribed byDepartment of Local Government Fi ante e P 7 � ^i B1 /�� �/��O File Mark INSTRUCTIONS: To be filed in person or by mail. 1J-�(W(�� Z., Form filed with: Filing Date: Form must be completed and dated in the eaten ar year for w ch the ded n is sought. County Auditor Must be filed or postmarked with the County Auditor or County Recorder of the county where property is County Recorder located on or before January 5 of the calendar year in which the property taxes are first due and payable. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Patoka 1 . 26-11-35-100-003.583-027 •r7-022 • Assessed value of real property as of Mortgage I Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is th applicant t the own sle? assessment date,current year assessment date,current year date of applicationlegal $145,000.00 ©Yes ❑No If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom Is the property in question:Annually Assessed If name on record is different than that of applicant,indicate below: El Real Property ❑Annually Assessed Name of mortgagee or contract seller F I L E D Mobile Home(IC 6-1.1-7) 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 66, Newburgh, IN 47630 Name of assignee or other owner or holder of mortgage i {t zxJ a. .2:4(,z,i4wegai Address of assignee(number and street,city,state.and ZIP code) GIBSON CUUN I Y AUDITOR Does applicant own property in any If yes,what county? What Taxing District? Has on property de u do en requested If yes,state amount of deduction other county current year? Yes 0 No in Indiana? ❑yes j No A person is not entitled to this deduction unless the person has a balance on the person's mortgage or n ract 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 al t is the basis for the deduction. COUNTY AUDITOR Deduction approved in the amount of: 20 I 20 20 20 20 20 11 20 County /-� \ Date(month,dirt_ Signature of County Auditor CN-S -) r C (1 '2—VA Z (�lit/��„, I I We certify under r the penalty of perjury that ove and foregoing information is true and correctco and that the applicant is a resident of Indiana and owner/contract buyer of the aforementioned property on date application is filed. f J Date(month,day,year) Signs (owner's full name) /� �1. 02/17/2022 F II resident dr o applicant(number and street,city,state,an ZIP coda) 2338 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 -r1 Name of applicant Name of mortgagee or contract seller f11 Du Terry Jon Gibson and Anita K. Gibson it ederal Credit Union W Lli District �'CJ�S " Date filed(month,day.year) Amount of 1e]IeJI Taxinge ,Rr.- .Z '�L\,2-Z $145,000.00 PatokaQ9 I71 -- F I Key number/legal description FEB 2 4 2022 - 2 2_ Q `\ . N i 26-11-35-100-003.583-027 .-1 County I Date(month,day,year) Signature of auntyA di County Rec da[ .�c�� �, ` 2- -2 2— . vim[ \t"n� O�Lu.-1cre.L ;:1 Q'SOrI J GIBSON COO Tl ,.uDlTOR