HomeMy WebLinkAboutMortgage_McIntyre Jr :f
STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS _
7�, "a+r {. FOR DEDUCTION FROM ASSESSED VALUATION County Township Year
Id "� State Form 437O9(R13110-15) RECEIVED (w 3tIfl 0Zg �r 22
-�- -. Prescribed by Department of cal Government Finance i J I i:
INSTRUCTIONS: ��I►
JUL 1 9 2022 File Mark
To be filed in person or by mail. " `� 1 Form filed with:
Filing Dates: 1) Real Property:Must be complete dated in the calendar year for which the deduction is sought.
Must be filed or postmarked with t ounty 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 sided
McIntyre,Ronald Leon Jr.and McIntyre,Starr Tecson
Taxing District Key number/legal description Record number Pa number
Princeton 26-11-12-103-000.725-028/TOWER HGTS 190 PT r4�� 30 y O
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 aoolleaf ion legal or eouitable owner'
112600.00 124242.00 174.775.00 x Yes 0 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: F IL Is the property in question:Annually Assessed
I) Is
Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortoaaee or contract seller -
Equity Prime Mortgage,LLC JU •
Address of mortgagee or contract seller(number and street.city state,and ZIP coded L 1 9 2022
PO Box 1194.Sorinofield.OH 45501-1194
Name of assignee or other owner or holder of mortgage ec O a
GIBSON
Address of assignee(number and street,city,state.and ZIP code)
Does applicant own propelty. any If yes.what county? What Taxing District? Has this deductio n requested If yes,state amount of deduction
other county \[�I\ on property for
El Indiana? Yes No current year? Yes ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage o cont 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 20 20 20 20 20 20
Signature of County Auditor�� �` County \J`^n Date(( 1nith, year)
oAtu
ci
I/We certifyunder the penaltyof perjury
a.t7hat the and foregoing information is true and correct and that the applicant s a r ii)d'`eenntof Indiana and
Pei ry 9 MJ PW�
owner/ tract buyer f the aforementioned propert on date application is filed.
i ture wner's ful{na )te at month,day.year)
Full resident address of applicant(numbe and.street-city stat and ZIP codel
201 N 5th Ave.Princeton,IN 47670 ti — l-1— Z't—
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)
Si.