HomeMy WebLinkAboutMortgage_Dant •�"""4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
ems.`g= FOR DEDUCTION FROM ASSESSED VALUATION Gibson 0d 0 2022
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_ State Form 43709(R14/1-20)
��% '1 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 County Recorder
is 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)
Damn T.Dant
Taxing District Key number/legal description Record number Page number
Princeton 26-12-07-304-000.890-028/SMITH ADD 13 PT .... a\ /0 66
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of le healo applieq antte t the sole
assessment date,current year assessment date,current year date of application
$0.00
$149,500.00 Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
Is a property in question:Annually Assessed
If name on record is different than that of applicant,indicate below: - sed
ReapAatgu2 '
Mr)�b■r' H i ID 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Research Center LLC dba Veterans United Home Loans A 3
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) MAR 2 2022 1
1400 Veterans United Dr.,Columbia,MO 65203
Name of assignee or other owner or holder of mortgage t,/(/�� .
Address of assignee(number and street,city,state,and ZIP code) ' ''�"itztz"e
GIBSON COUNTY AUDITOR
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested if yes,state amount of deduction
other county CI � on property for
rt�f❑ No
in Indiana? Yes �Ivo current ye-ar? �6Vr�'�
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
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 o County Date 3(mon^3 year)
o�Z
f Coun Auditor�` (�— t/o /
�F.QnAII�'`.^_".',._� —s� Gibson
1/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/contract buyer of the afo coned property on date application is filed. Date( o Y
/ a
e lure{owners full name) ,. �,,
LtiL" ( ^o ,
Full r ' ' ad�ess of applica t �✓���'er/a-nd street,city,state,and ZIP code)
727 .Prince St.,Princeton,IN 47670 Date(month,day,year)
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,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
Darrin T.Dant Mortgage Research Center LLC dba Veterans United Home Loans
Amount of indebtedness Taxing District -
Date filed(month,day,year) r'j/)
3/a 3/a a $149,500.00 D
Key number I legal description
26-12-07-304-000.890-028/SMITH ADD 13 PT I a e(mont , ay,year
Signature o County Aud'po ounty Recorder I / County 7
qt/Y/ �y Gibson MAR 212022 iy7
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GIBSON COUNTY AUDITOR