HomeMy WebLinkAboutMortgage_Buckman (2) 7M;-'-'infix STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
�/� -_• • ,, FOR DEDUCTION FROM ASSESSED VALUATION ��� �Z2
t . f' State Form 43709(R13/10-15) RECEIVED �S�
`_ a� Prescribed by Department of Local Government Finance
�! n _
INSTRUCTIONS: '1(40 d l MAR 3 0 2022 File Mark
To be filed in person or by mail. tt�\ ��'^�� Form filed with:
Filing Dates: 1) Real Property:Must b ompleted and dated in the oaten a r for which the deduction is sought.
Must be riled or postmarked with the County Auditor or Coun ecorder of the county where the property is County Auditor
located on or before January 5 of the immediately succeeding calendar year. County 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)
Buckman,Anthony Joseph and Poole,Katie
Taxino District Key number/leaal description R7.-0��number I Pag�
e number
Princeton 26-12-08-204-000.304-028/DIKE ADD SUB DIV 19 C-1
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date,current year date of application legal or equitable owner?
119700.00 172500.00 161.616.00 x Yes 0 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
x Real Property ❑ Annually Assessed
FILED Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Home Point Financial Corporation
Address of mortgagee or contract seller(number and street.city state,and ZIP code) 3O 2022
2211 Old Farhart Road.Suit.250.Ann Arbor.MI 4R105 MAR
Name of assignee or other owner or holder of mortgage { _ ,
Address of assignee(number and street.city,state,and ZIP code) GIBSON COUNT f AUDITOR
Does applicant own props in If yes,what county? What Taxing District? Has this deducti n requested If yes,state amount of deduction
other county on
in Indiana? CI Yes No currrenntyear?for Yes ❑No
A person is not entitl to th deduction unless the person has a balance on the person's mortgage or ract indebtedness that is recorded in the county
recorder's office(including an home equity line of credit that is recorded in the county recorder's office)th t 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 'C )' County \ Date( onlh. ay.year)
0M l ►ns 330�7.022-
I/We certify under the penalty of perjury that the above and foregoing information is t and correct and that the applica t is a sident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(owner's I name) Date(month,day.year)
Full resident add of applicant 2mber and street.city state.and ZIP code)
2404 E Lake Rd.Princeton.IN 47670
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)
Thu nano/rice f r n.ri.,n,r.n,nr/,,rin imnncnnmunF.,r.II.h.,., r.f.,F.-,If.mo.e- r.I a fuss r...F,e.vre.r of e1n non