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HomeMy WebLinkAboutMortgage_Heneisen "•':'a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year 411 • ` t FOR DEDUCTION FROM ASSESSED VALUATION k}, t' I State Form 43709(R11 6-09) RECEIVED Gibson Oakland City 2022 Prescribed byDepartment of Local Government Finance ="' / MAR 3 U 1012 INSTRUCTIONS: ei�n v' im I File Mark To be filed in person or by mail. 1111 Filing Oates: 1.) Real Property: Must be completed and dated in t t ndar year for which the deduction is sought. Form filed with: Must be filed with the County Auditor or County Recorder of the county where the property is located on or before January 5 of the immediately succeeding calendar year. 10 County Auditor 2.) Mobile/Manufactured Home not assessed as real Property: Must file with the County Auditor of the ri county where the property is located during the twelve(12)months before March 31 of each year the County Recorder deduction is sought. _ _ . See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer—see restrictions on reverse side) O�-r • Janna Nicole Henelsen and Gavin Lee Hobdy Taxing District !!^^ Key number/legal description a t. q Record nu er Page number • V 04- *FAIR PARK 10/11/12 BLK 5 CI'D-I`I-`a-gt1-000. op-- `�Z7 to Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract inde*edness Is the applicant the sole March 1,current year as of March 1,current year. unpaid as of date of application legal or equitable owner? $0.00 •$0.00 •5178,249.00 ID Yes ❑No If no,what is his/her exact share of interest? If owned with someone other than spouse.indicate with whom If name on record Is different than that of applicant, indicate below: Is the property in question: Annually Assessed © Real Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) SLED Name of mortgagee or contract seNer _ ' Acceptance Home Mortgage,LLC Address of mortgagee or contract seller(number and street,city,state,and Z * 101 Plaza Blvd.,Suite 232.Evansville,IN 47715 Name of assignee or other owner or holder of mortgage MAR 3 0 2022 Address of assignee(number and street,city,state,and ZIP code) a •lj� ...) 13"6 Does applicant own property in any other In yes,what county? 01f8M1001€14516itie DIT liLIas this deduction been sted on property county in Indiana? for current year? ❑ Yes ti No Yes ❑ No COUNTY AUDITOR Deduction approved in the amount of: 20 20 _ 20 20 1 20 20 20 Signature of County Auditor�1J\\ - I( %� I County 1�b� Dates( th, a �r)Z I/We certify under the penalty of perjury that the above and foregoing Information is tr and correct and that th applicant..nt s are ident of Indiana and owner/contract buyer of the aforementioned property on date application Is filed. Sig lure(owner's full name) /1 ., Date(month,day,year) li ' .. _ _ k1„�_ 1 I ` Q 02/25/2022 Full resident address of appli cant(nuu'mbber and street,city,state,and ZIP code) • 210 S.East Street,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) l Address of authorized person(number and street,city,state,and ZIP code)