HomeMy WebLinkAboutMortgage_Coons a
-°'T" 4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
x FOR DEDUCTION FROM ASSESSED VALUATION Gibson 0 d7 cD,
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State Form 43709(R14/1-20)
ra. `�' Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: To be filed in person or by mail. Form filed with:
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Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. I 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 properly taxes are first due and payable. ❑ County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Dusten D.Coons and Sarah B.Coons
Taxing District t..g. Key number/legal description Record number Page nyrngr.
To,,,, ' ),' 26-12-03-300-002.027-027/PT NE SW 3 2 10 1 AC -)<32 G- 31 /6
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 or equitable owner?
$0.00 $276,107.00 0 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: e property in question:Annually Assessed
Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller F ILED
Caliber Home Loans,Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
1525 S. Beltline Road,Coppell,TX 75019
Name of assignee or other owner or holder of mortgage JUL 19 2022 �, /
Address of assignee(number and street,city,state,and ZIP code)
`r/�J� ,. I/
Does applicant own property in any If yes,what county? What Taxing District? oHas n pththis
deduction beenG{e1�7�0 UN�( of deduction
other county 0 Yes ❑ No current year? ❑ Yes ❑ No
in Indiana?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract 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 ' "�"r"V �.r / County Date(month,nda�,�ear
/' v'IrVI � Gibson 7l
1/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
\ Btgnatu r wner's f 11 ame) Date(month,day,year)
�J[` _c_!r�/ �rF/) `/y',' �G � = JUL 122022
Full resident address of applicant(num er and street,city,state,and ZIP)ode)
923 N 275 E, Princeton, IN 47670 Date(month,day,year)
Person authorized by duly executed Power of Attomey 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 S10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
Dusten D.Coons and Sarah B.Coons Caliber Home Loans, Inc.
Date filed month,day,'x�je Amount of indebtedness Taxing District Qc-\o ILo-
'7/111, -1 $276,107.00 . ry 15))i f
Key number/legal description
26-12-03-300-002.027-027/PT NE SW 3 2 10 1 A Date(month,day,year)
Signature pf County Auditor County Recorder County
'%IgfAtA-0-- 4/t✓/ Gibson JUL 1 9'2/022
4r)2444.041 &.Ylr 4)
GIBSON COUNTY AUDITOR