HomeMy WebLinkAboutMortgage_Scheleter MJr.-, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
yo �_ ` FOR DEDUCTION FROM ASSESSED VALUATION Gibson �� l �J�O ZZ
;\` • State Form 43709(R13/10-15) eq .
Prescribed by Department of Local G vernment Fina ce
(�� _ ( File Mark
INSTRUCTIONS: r' ck=s, I .Al•� G1 2_` • Form filed with:
To be filed in person or by mail.
Filing Dates: 1) Real Property:Must be completed nd date in t e calendar year for hi the deduction is sought. 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 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)
Michael Schleter and Olivia Schleter
Taxing District Key number/legal description Record number P be e number
Barton 26-20-06-300-001.010 SY10 OCR\ -4 2.2_ • S 3 I
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of the applicant Is ntthe
sole
Is
assessment date.current year assessment date,current year date of application 9equitable
$292,578.00 IZI Yes ❑ No
If no.what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
I L E D Is the property in question:Annually Assessed
If name on record is different than that of applicant,indicate below:
El Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller J U N 0 9 2022
United Wholesale Mortgage, LLC
Address of mortgagee or contract seller(number and street,city.state,and ZIP code
585 South Blvd E., Pontiac, MI 48341 ./az.( a. .1/Y rw,
Name of assignee or other owner or holder of mortgage
GIt3SON COUNTY AUDITOR
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 deducti een requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes l21 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 tract 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)th t is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
_ County Date(moo hs�.da ear/
Signature of County Audiittoyr1, ^, ^ �0 r� e �( 11
I/We certify under the penalty of perjury that the above and foregoing information is true nd correct and that the applicant is re ident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Date(month,day,year)
Signature(owner's full name) 0 •^ _ ,/ 05/31/2022
a [�fi Gg � e7 f (
Full resident address o applicant(number and street,city,state,and ZIP code)
Michael Schleter and Olivia Schleter 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.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of of mortga ee or •act seller
Michael Schleter and Olivia Schleter iitt e ortgage, LLC
day.year) Amount of indebtedness ■ LL axing District
Date filed(month.
(D',A- 2-7__ $292,578.00 Barton
Key number/legal description JUN 0 9 2022 -7---022.-2S-3 )
26-20-06-300-001.010Y1 0 0
Signature of County Auditor/County Recorder /� cij��,CouLnity./ Date(month,day,year)
01 �/I� /,'iE ti Op��Q�Y TOR 6�_r-)--2
l J GThS )T!c+�