HomeMy WebLinkAboutMortgage_Balen ``L' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION Gibson 2� 2022
.., '` State Form 43709(R14/1-20) RECEIVED
re,. Prescribed by Department of Local Government Finance
JUN 2 7 2022 File Mark
INSTRUCTIONS: To be filed in person or by mail. Yvl c l0tA)n Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. W County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. n ounty Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Joseph Balen
Taxing District Key number/legal description Record number Page
�number
�
Princeton 26-12-07-204-000.080-028/Parcel ID(s):26-12-07-204-000.080-028 OZZ 2-t D Y
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 r quitable owner'?
$0.00 $101,175.00 C Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone oLEDther than spouse,indicate with whom \
If name on record is different than that of applicant,indicate below: F l e property in question:Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller JUL 0 5 2022
Bank of England
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) ,(�
2008 East Morgan Ave, Evansville, IN 47711 `9% i-/ /L J. ' s.' .)
Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) GIBBON COUNTY AUDITOR
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction n requested If yes,state amount of deduction
other county on property for YES 0 No
in Indiana? ❑Yes ❑ No current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or ont ct 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 �0 C
2020 20 20 20
Signature of Counly Auditor,,,^ CountyDatet,gy4d yeap`�t 1 (J��1no►U Gibson l/� ZI/We certify under penalty of perjury that the above and foregoing information Is true and correct and that the applicant Is a reent Indiana and
owner/contract buyer of the aforementioned property on date application is fled.
Signatur er's full y Date(month,day,year)
resident address of applicant(number and street,city,state,and ZIP code)
08 SW 5th Street,Apartment 7601,Yukon,OK 73099
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)
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
Name of applicant Name of mortgagee or contract seller
Joseph Balen Bank of England
Date filed(mopT,day, r) Amount of indebtedness Taxing District
lllAll -!)IJII 12 $101,175.00 FILEI rinceton �7
Key number/le al description �`0.Z Z- 2%88 , N 0
26-12-07-204-000.080-028/Parcel s):26-12-07-204-000.080-028Ill
Signature of Coun Audito /Col my Record Date(m c ay,ye z
' � , 0 5 2022 / '7A
t0, o rTl
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V %?J.J a. ./.4 w.
GIBSON COUNTY AUDITOR