HomeMy WebLinkAboutMortgage_Brown (14) ,4```--T,� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
C j'— FOR DEDUCTION FROM ASSESSED VALUATION Gibson o�6 2022
State Form 43709(R14/1-20)
Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: To be filed In person or by malt Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. El 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.
CI See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Matthew C.Brown and Andrea L.Brown
Taxing District Key number/legal description Record number Page number
Oakland City 26-13-10-100-001.486-006/PT NW 10-2-9 15.84 AC .uf /4S
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 date of application legal or eqable owner?
$0.00 $236,000.00 •L._7 Yl ujtes 0 No
It no,what is his/her exact share of interest? If owned with someone other than spso,((((use,indicate with whom
If name on record is different than that of applicant,indicate below: a properly in question:Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 8-1.1-7)
Name of mortgagee or contact seller
Heritage Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
5388 Old State Road 66,Newburgh,IN 47630
Name of assignee or other owner or holder of mortgage
Address of assignee(number end street,city.state.and ZIP code)
Does applicant own property in any If yes•what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
othercocnyon property for td-/05 ❑No
it Indiana? ❑Yes 0 No current year?
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 I 20
Si9neWre of County Q' r „t / A/Gibs Date(month,day.Yearn
[[[ � �/� ` Gibson 3l3dJyea)
II 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 aforementioned property on date application Is flied.p to bagym.p r��(�,
( rs n,a `/}�` U� ^ry- 'Tl\Al�u�l Da MkIK 2 i G11L2
F resident address of (numberend street city,seat,arrrlZIP coda)` Al
8738 E.Base Rd.,Oakland City,IN 47660 Date(month,day read
Person authorized by duty executed Power of Attorney or by IC 1L1.1-12-0.7
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 seder
Matthew C.Brown and Andrea L.Brown Heritage Federal Credit Union
Date fled(month,day.year) Amount of Indebtedness Taxing Dlshio�t/ �l/
. /.. / as $236,000.00 Oo. .4^^d (,i-1.--
Key number/legal description
26-13-10-100-001.486-006/PT NW 10-2-9 15.84 AC Date(month,day,year)
signaa,rg at coagty!.cditnr/c' y
�a//2 . Gibson
FILED
MAR 31 2022
Y12, ..h„_,, a.
GIBSON COUNTY AUDITOR