HomeMy WebLinkAboutMortgage_Osoria ,mom STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Lunty To ship Year
FOR DEDUCTION FROM ASSESSED VALUATION 1 tt`` 1 q/�� 7
State Form 43709(R13/10-15)cwt v V��
Prescribed by Department of Local Government Finance
MA 4 2O22File Mark
INSTRUCTIONS:
To be filed in person or by mail. i Fo m•ed with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the de on is sought. al County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the courg{jt�p
located on or before January 5of the immediately succeeding calendar year. GIBSON CO NTY AUDITCI-■ 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)
Osoria, Cory & Brittany
Taxing District Key number/legal description Record number Page number
Owensville 26-17-12-201-000.127-022 e2O 2 o26 E to
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the le 9al or eapplicant
lt e owner!
sole
assessment date,current year assessment date,current year date of application
247,474 I] 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
2] Real Property ❑ Annually
Assessed Mobile 6-1.1-7)
Name of mortgagee or contract seller
Movement Mortgage, LLC
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
8024 CALVIN HALL ROAD INDIAN LAND, SC 29707
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in a If yes,what county? What Taxing District? Has this deductio b n requested If yes,state amount of deduction
other county on property for
in Indiana? El Yes No current year? Yes ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or 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) ha is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
County Date(month,day,year)
Signature of County Auditor S C 8l�
1 i We certify under the penalty o perjury t e and foregoing information is tru d correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signatu a(oyy,ersfjill name) - Date(month,day,year)
(J�f V'6-'' B-2!--/a �" & 5/2/2022
Full r dent address of applicant(number and stree,'ci/ty state,and ZIP code)
202 West Brummitt Street Owensville, IN 47665 Date(month,day,year)
Person authorized by duly executed Power of Attorney or by IC e-1.1-12-0.7
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.