HomeMy WebLinkAboutMortgage_McKinley ..e•. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
'�=: .t FOR DEDUCTION FROM ASSESSED VALUATION Z2
,, ,,; O 2-State Form 43709(R13/10-15) RECEIVED Gibson
a�'j Prescribed by Department of Local Goo/yernment Finance
INSTRUCTIONS: 1 J c&/iWo> I s ' MAR 1 5 2022 File Mark
to
To be filed in person or by mail. Form filed with:
Filing Dates: 1) Real Property:Must be completed and date n he calendar year for which the deduction is sought. *County
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is Auditor
located on or before January 5 of the immediately succeeding calendar year. ounty Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county
where the property is located during the twelve(12)months before March 31 of each year the deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Jeremy C. McKinley and Trianna Jazette McKinley
Taxing District Key number/legal description Record n xtu�ber Pat um r
FT BRANCH 26-18-13-404-001.388-026 2-0 ! . 2—
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 I date of application legal or equitable owner?
$167,260.00 El Yes ❑ No
If no,what is his I her exact share of interest? If owned
with someone other than spouse,indicate with whom
If naive on record is different than that of applicant,indicate below: 1 L E ■ 1 Is the property in question:Annually Assessed
��.!/ O Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller MAR 16 2022
Veterans United
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
1400 Veterans United Dr., Duite 18, Columbia, A $lceeg AUDITOR
Name of assignee or other owner or holder of mortgage GIBSON COUNT
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 deducti een requested If yes,state amount of deduction
other county on properly for
in Indiana? ❑Yes El No current year? Yes ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage co tract 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 Auditor
County Date*d ar
I/We certify under the penalty of perjury that the abo and foregoing information i e and correct and that the applicre ident of Indiana and
owner/contract buyer of the aforementioned property on cyate application is Sled.
Signs re(owner's full name) Date(month,day,year)
�l-: qf� X44 03/11/2022
I resident ad ss of applicant(number an street,cif. tate,and ZIP code
203 W. ocust St., Ft. Branch, IN 47648
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
Jeremy C. McKinley and Trianna Jazette McKinley Vetrens United
Date fit mot day,/.2).)�� Amount of indebtedness -I am District = m
$167,26(�O� I I ranch CI
Key number/�egal description -2-C-)-2-2-
r"r' m
26-18-13-404-001.388-026 / 202 2-- 1' C' 2--
3 0 <
ril
Signature of County Auditor/County Recor ��—;-{ CountyM AR i 6 2022 Date(Month,d y,year) ti o
��.�-�CN���/111s Gibson / - I Co- `ZO 22
`7% /taa/ a..14 6.0
GIBSON COUNTY AUDITOR