HomeMy WebLinkAboutMortgage_Montgomery (12) • '-"''.1. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
lei r FOR DEDUCTION FROM ASSESSED VALUATION
RECEIVED Gibson OZti 2022
d, State Form 43709(R14/1-20)
,-. Prescribed by Department of Local Government Finance JUL 2 5 2022
File Mark
INSTRUCTIONS: To be filed in person or by mail.rg Q Se__ ' orm filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 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. County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Robert O.Montgomery and Cynthia S. Montgomery
Keynumber/legal description Pag=number
- /
Taxing District �•OL eg P - 14p
H ''2N0`n 26-22-16-100-002.702-024/PT N&PT SW 16 4 11 5.32 AC D-2 ,
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 uitable owner?
$0.00 $207,254.19 Yes ❑ 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: a property in question:Annually Assessed
F Real Property QAnnually Assessed
6-1.1-7)
Name of mortgagee or contract seller
Farm Credit Mid-America, FLCA JUL 5 2022
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
12501 Lakefront Place,Louisville,KY 40299 �/���
Name of assignee or other owner or holder of mortgage •�'yl,,,/ G( a.r''u OR
O %B''`�� COUNTY A
{ OtSSON
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? HHas n property dedu
Yes
requested If yes,state amount of deduction
er county 0 Yes 0
No current year? n •es 0 No
in Indiana?nddiana? Htra
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or con 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 Date( nth,da ry,
'm�ajst/v�Y}� Gibson Z� Ll
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant Is a res nt of diana and
owner I contract buyer of the aforementioned property on date application Is flied. Date day,year)
ignat (o ers na /J �iD-� ( i�yy/ —(month,5. Z.r)
r/�-�.?��r `It and ZIP codl Y 6 U//LEI`
ull resident address of applicant(n rand str6et,city,
12377 S.400 W.,Haubstadt, IN 47639 Date(month,day,year)
Person 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 vears and a fine not to arranti sin nnn