Loading...
HomeMy WebLinkAboutMortgage_Fisher (6) r. :-"7N, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year FOR DEDUCTION FROM ASSESSED VALUATION 1_ P.�' State Form 43709(R13/10-15) RECEIVED Gk�p A ©28 2 02Z t\� _;., 1 Prescribed by Department of Local Government Finance INSTRUCTIONS: �.Jr R "' ' c r JUL 1 9 2022 File Mark To be filed in person or by mail. I ^ ' , Form filed with: Filing Dates: 1) Real Property:Must be co leted and dated in the calendar year for which the deduction is sought. 1��,,/// Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is County Auditor 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. Applicant(owner or contract buyer-see restrictions on reverse side) Fisher,Keith A Taxing District Key number/leaal description Record number Pane number Princeton J 26-12-18-201-002.883-028/SS ADD 152 PT I r— 22 SOCt C Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole • acc.xcment date,current year assessment date,current year date of application legal or equitable owner? 113400.00 0.00 70.000.00 Y Yes El 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 T Is the property in question:Annually Assessed E ■ ) x Real Property ❑ Annually Assessed Name of mortaaaee or contract seller F II 111.J4 J Mobile Home(IC 6-1.1-7) Regions Bank d/b/a Regions Mortgage ISAOA 4`1 '1 9 2022 Address of mortgagee or contract seller(number and street.city,state,and ZIP code) RI 2050 Parkway Office Circle_Birmingham_Al 3S744 /f 4 itYrn ryp,) ` Name of assignee or other owner or holder of mortgage G�y."". LI N:(,Yj/p UDt?OR le Address of assignee(number and street,city,state,and ZIP code) � Does applicant own prope in an If yes,what county? What Taxing District? Has this deductio n requested If yes,state amount of deduction other county on property for in Indiana? ❑Yes o current year? Yes El No A person is not entitled th deduction unless the person has a balance on the person's mortgage or n 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)th t is the basis for the deduction. COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 120 20 20at Signature of County Auditor A_ ,y •N c© County \�O De �tyar) I I We certify under the penalty of perjury that the above and foregoing information is trlY@�ind correct and that the applicant is a r ident of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Sig ure(own s full name a (monyr,day.year)p c� Full resident address of applicant number and street.city.state.and ZIP code) 318 E Kentucky 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)