HomeMy WebLinkAboutMortgage_Parker (11) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS 1" i unty Township Year
`< .- c. FOR DEDUCTION FROM ASSESSED VALUATION
ili. State Form 43709(R13/10-15) RECEIVED gLSa' 02V 2.07?
-';' -,- Prescribed by Department of Local Government Finance J
INSTRUCTIONS:
( �,, J U L 0 5 2022 File Mark
To be filed in person or by mail. Form filed with:
Filing Dates: 1) Real Property:Must be c leted and dated in the calendar year for which the deduction is sought. Coon Auditor
Must be filed or postmark with the County Auditor or County Recorder of the county where the property is tY
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.
Anolicant(miner or contract hover-see restrictions on reverse.side\
Parker,Steven
Taxing District Key number/lanai descrintinn Record numberPage number
•
Montgomery 26-17-08-400-003.634-021/NE SE 8 3 12.55 AC D-20 2V 22_ . 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
s ssrssment date.current vear assessment date,current year date of aoolication legal or equitable owner?
100700 00 0.00 162.011.00 x Yes D No
If no,what is his I her exact share of interest? F
1.3d,
her[tan spouse,indicate with whom
If name on record is different than that of applicant,indicate below: 1 rin Is the property in question:Annually Assessed
. x Real Property ❑ Annually Assessed
Name of mortgagee or contract seller
JUL 0 5 2022 Mobile Home(IC 6-1.1-7)
Home Point Financial Corporation f�,,�yt
Address of mortgagee or contract seller(number and street.city.state,and ZIP yI z( (Z 1'* `ld
2211 Old Earhart Road.Ann Arbor.MI 48105 GIBSON COUNTY AUDITOR
Name of assignee or other owner or holder of mortgage
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 requested If yes,state amount of deduction
other county on property for
in Indiana? 0 Yes ❑No current year? Yes 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or 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 20 20 20 20 20
Signature of County Auditor a County Date mo ear)
I/We certify under the penalty of perjury that the above and foregoing information is truA a d correct and that the applicant is a re ident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Si lure Date(month,day.year)
022.
Fu I resident address o aooiicant(number and street.city.state.and ZIP ode)
10667 W 600 5.Owensville.IN 47665
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)