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HomeMy WebLinkAboutMortgage_Meece „,* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year :4c _:+f, FOR DEDUCTION FROM ASSESSED VALUATION �Q /` �Z,Z �' State Form 43709(R14/1-20) Gibson v "i —=, Prescribed by Department of Local Government F'n nce RECEIVE File Mark INSTRUCTIONS: To be filed in person or by mail. f I MAR 0 1 2022 Form filed with: Filing Date: Form must be completed and dated in the cale dar year f which t eduction is sought. © County Auditor Must be filed or postmarked with the County Auditor or County Reco 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) Michael E. Meece and Sharon K. Meece Taxing District Key number/legal description Record number� Pr mbar Columbia 26-13-26-400-000.648-006 { - 2.- l 5 Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/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? $133,800.00 El Yes ❑No If no,what is his/her exact share of interest? T T If owned with someone- other than spouse,indicate with whom If name on record is different than that of applicant,indicate below: �""'7 I �""'1 , / Is the property in question:Annually Assessed 1 ..L..,/...LLL!!! ®Real Property ❑Annually ssed Mobile Home e(IC 6-1.1-7) Name of mortgagee or contract seller MAR 0 3 2022 German American Bank Address of mortgagee or contract seller(number and street,city,state,and IP code) , 711 Main St.,Jasper, IN 47546 C.e ,�.%.c,:."`"”" Name of assignee or other owner or holder of mortgage GIBSON COUNTY 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 deductio en requested If yes,state amount of deduction other county ❑ on property for YesNo in Indiana? Yes ®NO current year? 0 A person is not entitled to this deduction unless the person has a balance on the person's mortgage or n act 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)th is the basis for the deduction. COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 20 20 20 Signature of County Auditor ^ _ (c4 County ,J Date(m th,"day,year) I/We certify under the penalty of perjury that the above and foregoing information is true aJ td correct and that the applicant s a ,esident of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Signature(owner's full name)cc / ,., �/ Date(month,day,year) ,ill: :f',gecc-e `?GYI+ / K /1 ./ 41-- 02/24/2022 . Full resident address of applicant(number and street,city,state,and ZIP code) 3361 S State Road 57, Oakland City, IN 47660 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 el E. Nam mortgagee i contract seller Michael Meece and Sharon K Meece G r t�■�-i-t~J•7/_erican Bank Dat fit (month,day, ear) Amount of Intl edne ,� Taxing District 9 tTl 33 r , -7'02 $133,800.00 Columbia Key number/legal description MAR 0 3 2022 o 21 26-13-26-400-000.648-006 �a j ii Signature of County Auditor/County Records .. County Date(month,day,year) 0 'M�dc�";,r4s t?2 c1 . , G'sOn 2.3-IJZ.2_2- . GIBSON CO ,.it -._. .TOR