HomeMy WebLinkAboutMortgage_Odom (2) e� 'r'q. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township ;ear
g. T, FOR DEDUCTION FROM ASSESSED VALUATION C�2b �L
State Form 43709(R14/1-20) RECEIVED Gibson —tlniec>_.
` Prescribed by Department of Local Gov mment Finance
1 JUL 2 7 2022 File Mark
INSTRUCTIONS: To be filed in person or by mail. mod` I o filed with:
Filing Date: Form must be completed and dated in the cal ar 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)
Kirk Allen Odom, Kyra Marie Smith,Timothy Wayne Smith,and Tona Lee Smith
TaxingDistric Keynumber/legal description Record number Pa e 9 P '`�'
-Nniot- 2 26-18-13-401-001.086-026/Lts 4,5&6 Robertson Add 22 s' I ,
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?
$48,600.00 $64,704.00es 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: FILED #ReeparolipPerrtoypinertquyesptio n:Annually Assessed
Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
American Financial Resources, Inc. ISAOA/ATIMA and The Secretary oRl juc 7 2022
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
9 Sylvan Way, Parsippany, NJ 070540
Name of assignee or other owner or holder of mortgage f) 4Ue �• AUDITOR
GIBSON COUNT`( A
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own props in any If yes,what county? What Taxing District? Has this deducti n requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes NO current year? Yes ❑ No
A person is not entitled t this deduction unless the person has a balance on the person's mortgage or 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 O, ! County Date(month,day,year)
� lv^1 Gibson
1 I We certify under penalty of perjury that the above an 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.Sign �,����Qature(owns/s fu n e) VYN �M`�`T K-�C' X4 wr. , Date(529nt7}rgx, 7
Full resident address of applicant(number nd street,city,state,and ZIP code)
511 N Polk Street, Fort Branch, IN 47648
Person authorized by duly executed Power of Attomey 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)
The nanaltinc for narinry ran inrirrde imnriennment no to two and a half veers and a fins not to exrxaed sin non