Loading...
HomeMy WebLinkAboutMortgage_Long s*•tt STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year s FOR DEDUCTION FROM ASSESSED VALUATION T.:,,,N 0 1 2022 fir,.<-t '1►1 State Form 43709(R14/1-20) .f Prescribed by Department of Local Government Finance File Mark INSTRUCTIONS: To be filled in person or by mail. Fo m filed with: Filing Dates: Form must be completed and dated in the calendar year for which the deduction is sought. Must be filed or postmarked with the County Auditor or County Recorder of the county where the County Auditor property is located on or before January 5 of the calendar year in which the property taxes ae first due 0 County Recorder and payable. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Brandon Long and Tina Long Record number Page number Taxing District © (� Key number 26-18-36-404-000.489-009 dJ n /_3 6 Assessed value of real roperty as of Mortgage/Contract Indebtedness unpaid as of dMortgage ate of application Contracti indebtedness unpaid as of Issgthhe ap qurtabthe sole assessment date,current year assessment date,current year Yes 0 No $216,218.00 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 t property in question: Annually Assessed Real Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller FILEDNavy Federal Credit Union Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 5550 Heritage Oaks Dr., Pensacola, FL 32526 Name of assignee or other owner or holder of mortgage MAY 1 .9 2022 Address of assignee(number and street,city,state,and ZIP code) clro Does applicant own property in any If yes,what county? What Taxing District? Has this dedu o bbeferS�s�sgUNT 64 Y Q�amount of other county on property forrR in Indiana? 0 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 co tra t 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 \ Date(month 0 20 20y yea 20 Signat ofCounty Auditor � County -7 / 22 I/We certify under the penalty of perjury that the above and foregoi g information is true and correct and that the app lica-it is a resident of Indiana and owner/contract buyer of the aforementioned property on dat plication is filed. Date(month,day,ye ) Signature(Dw full name) — 5-1 !O 0a Full resident address of applicant(number and et,city,state,and ZIP code) 102 S Weber Dr., Haubstadt, IN 47639 Date(month,day,year) Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 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.