HomeMy WebLinkAboutMortgage_Mattingly :^ ;,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Founty Township Year
FOR DEDUCTION FROM ASSESSED VALUATION O ��
State Form 43709(R13/10-15) RECEIVED ,/1 ZL�Y i' Prescribed by Department of Local Government Finance q____YJ
INSTRUCTIONS: `�,,,,,,d �" MAY 2 4 2022 File Mark
To be filed in person or by mail. L �'`� ` / Form filed with:
Filing Dates: 1) Real Property:Must b ompleted and dated in the calendar ytrtir for which the deduction is sought.
Must be riled or postmarked with the County Auditor or County Recorder of the county where the property is VVV��� County Auditor
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)
Mattingly,MaryJane Marie and Becht,Randall Grant
Taxina District Key numbercoal description Record�^number Paa number
Fort Branch 26-18-13-404-001.143-026/OLD PLAN 7 PT/222 PT fO 2,_2 , 2-2-
Assessed value of real property as of 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 legal or eauitable owner?
83500.00 64248.00 112.121.00 % Yes ❑ 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: ,I L E D Is the property in question:Annually Assessed
x Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of rnortoaoee or contract seller
Union Home Mortgage Corp J U N 1 3 2022
Address of mortgagee or contract seller(number and street.city.state.and ZIP code) %],,8241 Dow Circle W.Strongsville.OH 44136 k /L ' , e2t. 6NWJ _.
Name of assignee or other owner or holder of mortgage GIBSON 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 n been requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes No current year? Yes ❑No
A person is not entitled to tht deduction unless the person has a balance on the person's mortgage or ntract 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 Audi[orm o Ai-`iIS Q County �111 Date(rtpO ,day y2 -
113 9--
I I We certify under the penalty of perjury that the above and foregoing information is trv'e and correct and that the applicant is a resident of Indiana and
owner/contract buyer
�offt the
)aforementioned/ propertyyondate application is filed.
Sig ure(owne ameel �,/ a �„ r i�X11�afp(month, ljear
✓rg v-
Full resident address of applicant)number and street cite state.and ZIP nodal
207 S Main St.Fort Branch,IN 47648
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)