HomeMy WebLinkAboutMortgage_Meier �..-,._,: STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
�1 `',+ FOR DEDUCTION FROM ASSESSED VALUATION Gibson O 2-4 2022
State Form 43709(R14/1-20)
Prescn'bed by Department of Local Government Finance
File Mark
INSTRUCTIONS: To be filed in person or by mail Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought 0 County Auditor
Must be Med or postmarked with the County Auditor or County Recorder of the county where the properly
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)
Christina Meier
Taxing District Key number/legal description Reco,r4 number Page number
Fort Branch 26-19-18-301-000.223-026/HILLCREST 7OPT p.O1 Era 3 59
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the a plicant the sole
assessment date,current year assessment date,current year date of application leg equitable owner?
$0.00 $232,750.00 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: nIsrttle property in question:Annually Assessed
l/Ygt'vReal Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Masters of Indiana,Inc.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
501 N.Cross Pointe Blvd.,Evansville,IN 47715
Fin f assig orb thor holder of mortgage
dr sf�fid street city,state,and ZIP code)
Does applicantp own property in any If yes,what county? What Taxing District? Has this deduction e requested If yes,state amount of deduction
/I,t,{,t iDP ❑No on property for es ❑No
f'r\7'CFn current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or ct indebtedness that Is recorded in the county
recorder's office(i cluding any home equity line of credit that is recorded in the county recorder's office)the 's the basis for the deduction.
/ /CtC t, ,� COUNTY AUDITOR
GIBSON COUNTY AUDI tor.
20 20 20 20 20 20 20
Signature Coy Autlr County
Date(month,day,year)
j 'o��� Gibson ni1klaa
I/We certify under penalty of perjury that the above and foregoing Information Is true and correct and that the applicant to a resident of Indiana and
owner I contract buyer of the aforementioned property on date application is filed.
$tin /N�L1LJ')(/name) Date(month,day,year)
(x- JUL 2-2 2022
Full resident address of applicant(number and street,city.state,and ZIP code)
310 E.John St.,Fort Branch,IN 47648
Person authorized by duly executed Power of Attorney or by IC e-1.1-12-0.7 Date(month.day,yeah
Address of authorized person(number and street cay,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
Christina Meier Mortgage Masters of Indiana,Inc.
Date filed(month,day,yea Amount of Indebtedness Taxing District
�/\k]ol $232,750.00 Fork 3+-o..✓s.c k,
Key number/Idgal des-'peon
26-19-18-301-000.223-026/HILLCREST 7OPT
signature of Conty A yroc/C my Recorder County
Date(month,day,year,_� u Gibson
AUG 11 2022
th„ E,r i a.
GIBSON COUNTY AUDITOR