HomeMy WebLinkAboutMortgage_Barrett (4) Mf^+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDIASF ty Township Year
7e 1, FOR DEDUCTION FROM ASSESSED VALUATION r 1 7
ii'4 is State Form 43709(R13/10-15) \\ 0 ( CO
((�TTyyy `\ �2C'
Prescribed by Department of Local Government Finance t� U� 1
INSTRUCTIONS: JUL G 2022 File Mark
To be filed in person or by mail. r filed with
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which th de,,d�_u,c��tion is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the�iN ecM P .Qi County Auditor
located on or before January 5 of the immediately succeeding calendar year. GIBSON COUNTY AUDITOR 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)
Barrett, Trevin Oneal
Taxing District Key number/legal description Record number Page number
Center 26-13-21-100-001.837-004 OR1' /J.
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?
$231,990.00 0 Yes ❑ No
If no,what is his/her exact share of interest? If owned with so ne other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: / II�,'�",►e property in question:Annually Assessed
`C Roperty ❑ Annually Assessed
�� Mobile Home(IC 6-1.I-7)
Name of mortgagee or contract seller C
Plaza Home Mortgage, LLC ISAOA 2022
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
N9808ame of SScrantr tonher oRoad,wner or Suite 3000, San Diego 92121 c/BSON c f mortgage c,N, qU To
R
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in a If yes,what county? What Taxing District? Has this deducti n b n requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes o current year? Yes ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c ract 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 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 c7;2 a `4 County ('� Date-
(m��oLLotay, ea�-y�)
I/We certify under the penalty of perjury that the above and foregoing information is true an rrect and that the applicant is 4j1 residentr of Indiana and
io ner/contract buyer of the aforementioned property on date application is filed.
Sign ure(owner's full name) Date(month,day,year)
J.,.v--��_ ��sr� —�« 07/22/2022
Full r . ent address of applicant(number and street,city,state,and ZIP code)
7 46 East State Route 64, Francisco, IN 47649
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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.