HomeMy WebLinkAboutMortgage_Elliott (7) a, (1 ._._ \.z 33o 0 -co 2 Zkt8 -OP1
¢= r'3 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Towns ip Year
;tea= 'i FOR DEDUCTION FROM ASSESSED VALUATION Gibson t,J{,/(OCI 2022
‘.... �c'�'j State Form 4370E(R14/1-20) �I
Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: To be filed in person or by mail Form filed with:
Filing Date: Form 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 property
is located on or before January 5 of the calendar year In which the property taxes are first due and payable_ 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or oontreot buyer-see resticloas on reverse side)
Christopher S.Elliott and Ashley R.Elliott
Taxing D(strlct Key number/legal description Record number Page number
_44 $t6 -1�oh40" 26-18-36-300-002.248-024/HUNTERS CROSSING 2 LOT 99 a0+2 o' 81 f9
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 assesameM date,current year date of application legal or equ owner?
$0.00 $246,000.00 es ❑No
tf no,what is his/her exact share of Interest? t owned with someone other than spouse,indicate with whom
If name on record Is different than that of applicant,Indicate below: ,(s)he property M question:Annually Assessed
An s
Mobi e ill -7)
Name of mortgagee or contract seller
Heritage Federal Credit Union
Address of mortgagee or contract sorter(number and street,city.state.and ZIP code)
5388 Old State Road 66,Newburgh,IN 47630 CCD 8 2422�
Name of assignee or other owner or holder or mortgage �- -.
Address of assignee(number and sheet city,state,end ZIP code)
Does applicant own property i7c If yes,what county? What Tenting District? i this daduunon bee Y AUDIT
other county on on property for
in Indiana? extentyeaR esG SON CO
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is recorded In the county
recorders office(Including any home equity line of credit that is recorded in the county recorders office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
th,
Signature Uu4kAt uordimr C�,'1l1„i♦Fl17sll.4{.,.'_Y.., Count Date )Gibson s?.
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 buyer of the of mentioned property on date application is filed.il [// -yam-ter/ p er, dJ �f�f
ugn.....fee ers full na �j 11.),,V.-y- /2-, Cam`. (.E.-1' DataFLII"1''�L022
( 5
resident ad of applicant(number and street,city,state,an ZIP code)
10004 S.Quail Xing,Haubstadt,IN 47639 Date(month.day,yeah
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7
Address of authorized person(number and street,city,state,end 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
Christopher S.Elliott and Ashley R.Elliott Heritage Federal Credit Union
Date tB�f( tlyX y Yearns $246, 0_00 indebtedness Taxing District ' F IL
!Tilig ft fo!pj Amount 00.00 O I'2j 0 h..:: .■■■i/I_�
Key n caber/legal description ,5.
26-18-36-300-002.248-024/HUNTERS CROSSING 2 LOT 99 ` fir'/
Slgnabrre fIlnty Pad7a v/County qW „y 9'�Gibson
n Date(month.day,reed
i iG1 i.-�. /�..,,/� r-f FEB 2 8 2022G%��
i`Y +s.az.e d. s4
GIBSON COUNTY AUDITOR