HomeMy WebLinkAboutMortgage_Ruether (2) �•.r,;* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County To ship Year
a -. 6/1
' FOR DEDUCTION FROM ASSESSED VALUATION Gibson - 2022
- State Form 43709(R14/1-20) RECEIVED
Vie. d' Prescribed by Department of Local Government Finance File Mark
y I 2 i U N O � 2022 Form filed with:
INSTRUCTIONS: To be filed in person or by mail.
Filing Date: Form must be completed and dated in the calenr year for which the deduction is sought. C� .1 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 calendar year in which the property taxes are first due and payable. ri County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
William Ruether
Key number/legal description Record number Page number
Taxing District I i� 2_ -- 24 99
U 26-19-19-101-000.698-026/Pt NW 19-3-10
Assessed of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of 1s the
applicant
ppli table sole
assessment assessment date,current year date of application ��11
er?
$139,400date,wrcentyear U)Yes 0 No
$139,400.00 $201,760.00
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
I e property inquestion Annually AssessedIf name on record is different than that of applicant,indicate below: F ILEDteal Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller 0 via
Mortgage LLC, ISAOA 1t 1N
Address of mortgagee or contract seller(number and street,city,state,and ZIP cotes __.
1050 Woodward Avenue, Detroit, MI 48226-1906 •� lla)
Name of assignee or other owner or holder of mortgage GIB%4p NTY P'Vp1'TO
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own propert in any If yes,what county? What Taxing District? Has this deductio been requested If yes,state amount of deduction
• on property for Yes CI NO
A person is not entitled t this deduction unless the person has a balance on the person's mortgage or on othnd county El Yes L1 N0 current year? Ltjj
in Indiana? fL/v
ract 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 I 20 I 20 I 20 I 20 I 20
County I Date month,day,year)
Signature of County Auditor A-5 ( 6 - 2 2_
I Gibson
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant Is a resident of Indiana and
owner I contract buyer of the aforementioned property on date application is filed. I Date( ?()�
Signature(own /s full na ) mS.
on I (V/``'GG e(w)
Full resident address of applicant(number and street,city,state,and ZIP code)
500 S Willard Street, Fort Branch, IN 47648 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 vearc anri a fine^.,I.,,a ceed$10,000.