HomeMy WebLinkAboutMortgage_Pea , 4` . STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
l;1 FOR DEDUCTION FROM ASSESSED VALUATION Gibson -
may 2022
State Form 43709(R14/1-20) Rc,a �/I^
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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. El County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Lisa R. Pea
Taxing District Key number/legal description Record number Page number
Princeton 26-12-07-404-002.470-028/MONROE HOMES 17 o11:1)-- i --7/
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is th appicant the sole
assessment date,current year assessment date,current year date of application lega or uitable owner?
$0.00 $119,790.00 Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: the property in question:Annually Assessed
Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Research Center LLC dbaPaddio F TTj-D
Address of mortgagee or contractt seller(number and street,city,state,and Z/P code) L L
1400 Veterans United Dr., Columbia, MO 65203
Name of assignee or other owner or holder of mortgage
APR 21 2022
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this•- • ti• •e-n eaGastel4 ,)tate amount of deduction
other county ❑Yes 0 No on current a f• �4t a=�cCU.•NJ ICI UDITOR
in Indiana. y�PBS
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or••n '=ct indebtedness that is recorded in the county
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that s the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature�yf y�oun it County Date(month,da year)
�yll�d v 14- Gibson -7ic
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer��of the` aforementioned property on date application is filed.
g to (owrr's full' / DatA(�grrthOdy,yg$r�2
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resiy00}ent address of applicant(number and street,city,state,and ZIP L•ode)
507 S. Stout St., 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)
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
Lisa R. Pea Mortgage Research Center LLC dbaPaddio
Date file (month, ay, ear) Amount of indebtedness Taxing District
//?t/,-2. $119,790.00 rill ce
Key number/legal description Ib
26-12-07-404-002.470-028/MONROE HOMES 17T
Signatur ounty�A,ud�.r otanty Recorder ounty a(IL, ar �f/
VgQ P.a Gibson .�;v
��� APR 21 2022
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GIBSON COUNTY AUDITOR