HomeMy WebLinkAboutMortgage_Besing (4) & "• STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
tilt;� FOR DEDUCTION FROM ASSESSED VALUATION 1+cr�m- 2022
,4 a i Gibson
State Form43709(R14/1-20) RECEIVED _ Baer
Prescribed by Department of Local Government Finance
MAY 2 4 2022 File Mark
INSTRUCTIONS: To be filed in person or by mai/. �I�e Form filed with:
Filing Date: Form must be completed and dated in the calen year for which the deduction is sought. County Auditor
Must be filed or postmarked with the County Au 'tor or County Recorder of the county where the prope
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. I ,County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Joshua L. Besing
Taxing District Key number/legal description Record number Page number
cet 6 1 l 26-14-18-403-001.233-007/E 1/2 Lts 14& 15 Hargrove, McConnell -3 z
m is l C1. ci &Cockrum's Add Z
Assessed value of real property a 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 lega or equitable owner?
$62,700.00 $72,265.00 q(1 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: a property in question:Annually Assessed
'Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller MAY 2 5 2022
Union Home Mortgage Corp. ISAOA/ATIMA
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
8241 Dow Circle West, Strongsville,OH 44136 ,...A..S a.f/Y/d�,',[;...-
Name of assignee or other owner or holder of mortgage GIBSON COUNTY AUDt'OR
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 deduction en requested If yes,state amount of deduction
other county on property for Yes ❑ No
in Indiana? El
❑ NO current year? abf'yCMa'
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 is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Auditor i_• County Date( da ,year)^
�JV\k� Gibson �� /� L
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resid t of ndiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(o er' me) Date(month,day,year)
0' 1 I-,)J1_022
Full re ' ent add ss of appiican number and street,city,state,and ZIP code)
415 Oak Street,Oakla d City, IN 47660
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)
r.----,..--.-----,--.--,,-...'...+o imnrisonment LID to two and a half years and a fine not to nvrwerf Sin nnn