HomeMy WebLinkAboutMortgage_Bratton (2) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
• -',<'?! FOR DEDUCTION FROM ASSESSED VALUATION Gibson Johnson 2022
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: --�` State Form 43709(R14/1-20)
"a-y ✓ Prescribed by Department of Local Government Finance File Mark
INSTRUCTIONS: To be filed in person or by mail. Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. m County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is ❑ County Recorder
located on or before January 5 of the calendar year in which the property taxes are first due and payable.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Jason &Vicky Bratton number I Record umb
Taxing District I Key number/legal description 2022 I Pager{/ .
Johnson JI 26-18-32-300-000.163-024 Is O
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of legal a equitable owner?
sle
assessment date,current year date of application
assessment date,current year $ 00 e00 1`�,bot. 0 Yes ❑No
If no,what is his/her exact share of interest?
If owned with someone other than spouse,indicate with whom
Is the property in question:Annually Assessed
If name on record is different than that of applicant,indicate below: ®Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller FILED
Crane Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
�o- \ ') S� C.'tt.sVett*a s Z.w. All..\. J U N 1 p 2022
Name of assignee or other owner or holder of mortgage
t 1 2 0
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Address ssignee(gnu b>r anet,city,state,and ZIP code) '-"'`.liY
�\1�S. 5`p W c3�� JA Z�J• �Z4t� g A5OPl�UP'l' sfIctialaT,0Ebt of deduction
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction
on property for ®Yes ❑No
other county ❑ No current year?
in Ieriana? Yes
indebtedness that is
recorder's office(including any home equity lineA person is not entitled to this deduction unless tof credit that is recorded in the county recorder'sor contra
off ce)that ist the basis for the deductio�ed in the county
COUNTY AUDITOR
Deduction approved in the amount of:
20 20
I 20
I 20 I 20 f 20 I 20
I
County Date(month,day,year)
Signat e of County Auditor '7�- �'" I Gibson I e.p/(b(�- .
% C(2A) 1 applicant is a resident of Indiana and
I/We certify under the penalty of perjury that the above and foregoinginformation is true and correct and that the
owner/contract buyer of the aforementioned property on date application is filed. I Date(month,day,year)
Signature(owner's full name) y-y��
Full resin.t address of applicant(number and street,city,state,and ZIP code)
10173 50 W, Cynthiana, IN 47612 I 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
Nam
Name of mortgagee or contract seller
e of applicant&Vicky
Crane Credit Union IL
E
�
Jason &Vicky Bratton (Taxing District
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Key I Amount of indebtedness M
Date filed(month,d�year) i i++ Johnson
number/legal description/ JUN 1 .n 2022
26-18-32-300-000.163-024 ounty Date(month,day,year)
Signature f County Auditor/County / — .'.1 Gibson _ -
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GIBSON COUNTY AUDITOR