HomeMy WebLinkAboutMortgage_Gooch (3) `"0•7"''
° - � STATEMENT OF
•
FOR DEDUCTION
OR CO }
NOM
i state Form ED CTIONi FROM ASSESSEDCONTRACT INDEBTEDNESS�'a VALUATION County
Prescribed by Department of Local ry Township
Government Finance Gibson
INSTRUCTIONS. To be filed in person or by 2022
Filing Date: Form Y mail.
must be completed and dated in the calendar
Must be fled or ile Mark
is located postmarked with the Countyyear for which theo der of
the is sou
on or before January 5 of the calendar Auditor or CountyFor• filed with:
propert
See reverse side for additional instructions and•ua/ifiications. Recorder of the sought
year in which the property taxes are firstue payable.
County Auditor
Applicant(owner or contract buyerthe
Blaine M Gooch see restrictions on reverse side) and Payable.
Taxing District and Jaclyn Nicole Gooch ........
County Recorder
P_ • a �� Key number/legal description
Assessed value of real , 2eynumber20gal des assessment date, Property as of n O8-bu8/N 1/2 Lt 97 R ord
current year Mortgage/Contract indebtednessoriginal plan number
Assessed
value
assessment date,curt unpaid as of 2Z Page the of er
current year Mortgage/Contract indebtedness /b
If no,what is his/her exact share date of unpaid as of of interest? application Is the applicant the
$143,
$236,eo n.other
le•al or sole
If name on record isequitable owner?
different than that of a eill omeone other than applicant,indicate below - spouse,indicate with whom _Sro
es 0 No
Name of mortgageeorIs the property in question:Annual)Evansville Teachers contract
ct seller UN 2 9 2022 �1 Annually Assessed
eat Property ❑An Address of Federal Credit Union Annually Assessed
mortgagee or contract seller4 Mobile7
•
4401 Theatre Drive, le(number and street,city, Home(IC 6- )
Name of assignee or other owner orrho der of mortgage y St. e Ar,7:►,. / _• ,
GIBBON �jNTY AUDITOR
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own
other county property in an
in Indiana? ❑Yes any If yes,what county?
NO What Taxing District?
A person is not entitled ' Has this deductio be
recorder's office o this deduction un/ess the on property requested If yes,state amount of deduction
current yearor IN ❑NO
(including any home equity fine of credit thatas recorded in on the
recorder's office)that the
person's mortgage or••nt ,ct indebtedness that is recorded in the county
COUNTY AUDITOR
Deduction approved in the amount of: basis for the deduction.
20
20 _
Signature of 20
County Autlitorrn` _r� 20_
1 ' 1�1V� �� VLI �� 20 20
1 f We certify County 20_em
fy under penalty of perjuryGibson
owner/contract buyer of the aforementioned d foregoingte is fit is true and correct and that the a Dom(
that the a��r (�O !��,,}77_RR�JJ���rr
Signature W e(owner's full ram property
�? , ' P Petty on date application is filed.
�� �\ � applicant is a re(-
Full esident addressV V .�.. C'�\ ent o Indiana and
of applicantaW
428 N (numbern, 767stree amity,state,and ZIP code)
Gibson Street, Princeton, IN 47670 Date(-onth'erson authorized byYear)
duly executed Power of Attorney or byIC 6- ,1.1-12-0.7
Date(month,day,year)
,ddress of authorized person(number and street,city,state,and ZIP code)