HomeMy WebLinkAboutMortgage_Choy .co-rA►, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION Gibson Princeton 2022
a ,i' State Form 43709(R11 6-09) RECEIVED
�y't Prescribed by Department of Local Government Finance
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INSTRUCTIONS: - -r I JUN 2 y 2022 File Mark
To be filed in person or by mail.
Filing Dates: 1.) Real Property: Must be completed and dated the calendar year for which the deduction is sought. Form filed with:
Must be filed 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. 0 County Auditor
2.) Mobile/Manufactured Home 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 ❑ County Recorder
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer—see restrictions on reverse side)
* Timothy A.Choy
Taxing District Key number/legal description qq I y 2 bRecord number Page n er
* *DEVINS ENLG 2 PT Ol6-17-0 `— 03 —0OI .�si-0�a f 22-- '214
Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness Is the applicant the sole
March 1,current year as of March 1,current year. unpaid as of date of application legal or equitable owner?
* $0.00 *$0.00 *$186,558.00 I]Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: Is the property in question: Annually Assessed
CI Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller T E T' Bank of England ■ T pAddress of mortgagee or contract seller(number and street,city,slat d�P�p� "��,,,,��//
' PO Box 3490, Little Rock,AR 72203
Name of assignee or other owner or holder of mortgage JUN 2 8 ..,•�Z
Address of assignee(number and street, city, state,and ZIP code)
`th,c.6 ,j ,'2 _t,'y`L.6442.1.)
Does applicant own property in any other In yes,what countyblgs0 gibiatvTlidtirffildigTO Has this deduction bee reques on property
county in Indiana? for current year?
0 Yes 05 No Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20
Signature of County Auditor i jOc = County q\�0� Daley�r�r ol{ a y,yyear)
I I We certify under the penalty of perjury that the above and foregoing information is true-.4nd correct and that the applic(antli(slaar$sident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signatureful me) Date(month,day,year)
06/08/2022
Full resident address of applicant(number and street, city, state,and ZIP code)
* 450 W.State St,Princeton, IN 47670
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)