HomeMy WebLinkAboutMortgage_Allen (3) M T} STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
-t 4 FOR DEDUCTION FROM ASSESSED VALUATION
`, , l' State Form 43709(R13/10-15)
Gi6sbti Prt' ce-icsi 0.
�i`__._•--.•%j Prescribed by Department of Local Government Finance
__ File Mark
INSTRUCTIONS: Form filed with:
To be filed in person or by mail.
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. [�]—eounty 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 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)
Allen,Zachery F
Key numberleaal description Record number Page num r
Tax�na District /
Princeton 26-12-18-200-000.489-028/SS ADD 254 c2740v?o? /q
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is s the applicant
the sole
er?
assessment date,current year assessment date,current year date of application 9
45200.00
90000.00 117.068.00 Y Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
F T L D Is the property in question:Annually Assessed
If name on record is different than that of applicant.indicate below: x Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortaagee or contract seller q P R 2 8 2022
GVC Mortgage.Inc.ISAOA
Address of mortgagee or contract seller(number and street.city.state.and ZIP code) /
600 Cnronratinn Drive.Suite 200.Pendletnn.IN 46064 L-�' ,,f,-.J ,
Name of assignee or other owner or holder of mortgage GIBSON COUNTY AUDITOR
Address of assignee(number and street.city.state.and ZIP code)
What TaxingDistrict? Has this deduction bee equested If yes.state amount of deduction
otDoes countycant own grope y ny If yes,what county? Ion property for
in nr current year? ❑No
in Indiana? CI Yes No indebtedness that is A erson is not entiled to this deduction unless recorder's office(intcluding any home equity line tof credit that is recorded balance nn the county recorder's office)n the person's mortage or thatis recorded in the county
the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
I 20 1 20 20 20 20
20 20
+, County Date(month.day. ear)
Signature of County ditor /�ygy �]�f/ 71 /agJ4�
l ��/�hLWS_y/ O �' 7 f $�Yt 'j
I I We certify under the 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. Dat (mont d1ay/._l'/e�ar^)
na re is m �af /- Li/ \! aC CA
ull resi t a dress of applica number and street.city.state,and ZIP code)
8 S Race St.Princeton.IN 47670 ----
---P rson 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.