HomeMy WebLinkAboutMortgage_George (2)---------------
County Township
STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Union 2022
WM
Z
Gibson
yFOR DEDUCTION FROM ASSESSED VALUATION
xState Form 43709(R14/1-20) File Mark
,e,. ' Prescribed by Department of Local Government Finance
o filed
mail. with:unty Auditor
INSTRUCTIONS: To be beiled in person andr by where the property ✓r County Recorder
tmar dated in the calendar Auditor orCounty Recorder of the is sought.
payable.
Filing Date: Form must completedro ert taxes are first due and
Must be filed or postmarked with the County
is located on or before January 5 of the calendar year in which the p p Y
See reverse side for additional instructions and•ualifications. liffiril
page number
Applicant(owner or contract buyer-see restrictions on reverse side)
Mary A.GeorgeTaxi
Key number I legal description 43 HIIICrest Add Is the applicant the sole
Unionng Districtequitable owner?
26 19 18 301-000.341-026/Lts 36 Mortgage/Contract indebtedness unpaid as oflegal A
as of Mortgage/Contract indebtedness unpaid as of date of application `�JYca 0 No
Assessed value of real curtent yearry assessment date,current year $150,000.00
assessment date,
if no, t is his If owned with someone other than spouse,indicate with om
00
If no,what is /her exact share of interest? _ I .e property in question:Annually Assessed
indicate below: I:Real Property ElAnnually Assessed
If name on record is different than that of applicant,
Mobile Home(IC 6-1.1-7)
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
Na Main Street,PO Box 360,Jasper, IN 47546 JUL 1 3 2��7
Name of assignee or other owner or holder of mortgage
4. �� �i f of deduction
Address of assignee(number and street,city,state,and ZIP code) T�,177 ��y`' tn
Has this deduction be, I SCJ NO +
anyIf yes,what county? What Taxing District? on property for �.�� CJ
Does other applicantntyown property currentpro erty f
O
county Yes o e or contract indebtedness that is recorded in the county
in Indiana? ep the recorder's office)that is the basis for the deduction.
recorder'sA person is not entitledncluI. this dhome/equity line on unless tof credit that is aecolyded in the county re o der's
office(including any COUNTY AUDITOR
Deduction approved in the amount of: 20 20
20
20 20 Date(month,day,year)
20 20 County --
Auditor Gibson applicant is a resident of Indiana and
Signature cf certify
under
that the above and foregoing is£iea true and correct and that the Date(month, 1,17)
1/We certify penalty of perjury on date applicationowner 1 contract buyer of the aforementioned property
_ fa-—4-`
/'`�� applicant(numb�=nd street,city,state,and ZIP code)
IN 47648 Date(month,day,year)
Full -sident-�ess of
•Person Sine zed Street,Fort Bra h,
authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7
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.