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HomeMy WebLinkAboutMortgage_Hackworth (2) Xt.....„........ vs...._3(5 - © O coo . (`fiy ^ � 09 k`` h STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year ';_ ;y FOR DEDUCTION FROM ASSESSED VALUATION Gibson 0090 2022 A ; State Fame 43709(R14/1-.20)' r. Prescribed by Department of Local Government Finance File Mark INSTRUCTIONS: To be filed in person or by mail, Form filed with: Filing Date: Fonn must be completed and dated in the calendar year for which the deduction is sought. Q County Auditor Must be filed or postmarked with the County Auditor or County Recorder of the county where the properly 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 reshtntians on reverse side) Joseph Q.Hackworth Taxing District Key number/legal description ec�ti RecordA.l1 number Page number Haubstadt 26-18-36-200-000.198-009/PT NE 36-3-11.50 AC ty tam a O O 6 Assessed value of real Property es of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid es of Is the applicant the sole assessment date,Current year assessment date,current year date of application legal or equitable owner? $0.00 $158,565,00 ///,,,,• Yes CI No If no.what Is his/her exact share of interest? If owned vA 'reborn someone other than spouse,indicate with born It name on record is different than that of applicant,Indicate below. Is the property in quaaccrytldoonn.�..tAatntries nuaallly Assessed I Real Property EI/foFDoI ) Name of mortgagee or contract seller Mortgage Research Center LLC dba Veterans United Home Loans Address of mortgagee or contract seller(number e d street.airy,date,and ZIP code) 1400 Veterans United Dr.,Columbia,MO 65203 FFg g.20gg Name of assignee or other owner or holder of mortgage Address of assignee(number ends et,city,state,and ZIP Cade) 1/ Does applicant own property in y If yes,what county? What Taxing District? lies this deduction been `�7 tl[y$�ravJM eclertrit on property for GI ON COUNTY AUDITOR .236...41.7 in other anatty ❑Yes o current yeah s ❑No Indiana? A person is not sniffled to this deduction unless the person has a balance on the person's mortgage or contract 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 Signs _._ ty minty Date(month,day,yea tu/rrgYttaAr:.51W.00tu / Gibson ra/a`efai I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and owner I contract b er of the aforementioned roperty a d to application is filed. re "rs fua ) n ( d �,.� e� :-Zit . j n ° y iF t address applicant number and street,dly:state,and GIP code) 317 Maple St.,Haubstadt,IN 47639 Person authorized by duly exerted Power of AtlonMy or by IC 6-1.1-12-0.7 Date(month,day,yea') 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 Joseph Q.Hackworth Mortgage Research Center LLC dba Veterans 1 ,Iq�vansE Date stiedj�. da,yyae d Amount of indebtedness Taxing District f'T A v 60 jiir■.mod. o��ar $158,565.00 jf Key number/legal ptlon 26-18-36-200-000.198-009/PT NE 36-3-11.50 AC ale av+�,y(g9e tv Ate"I ke County Gibson Date(re!`fl/. Ye¢�,r[3 2 8 2022 I�fd4._�ft/ 77�j� 1 GIBSON COUNTY AU''_