HomeMy WebLinkAboutMortgage_Richard vi e ,„ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS county Township Year
y • FOR DEDUCTION FROM ASSESSED VALUATION
a,''_.,^ ✓' State Form 43700(R13/10-15) �o� n(�
N. , Prescribed by Department of Local Government Finance J
File Mark
INSTRUCTIONS: Form filed with:
To be flied In person or by mall.
Filing Dates: 1) Real Property: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 County Recorder
located on or before January 5 of the immediately succeeding calendar year.
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)
Richard, Gregary & Shanny Record number Page number
Taxing District I Key number/legal description I ,�� `-�/p
Johnson 26-23-11-200-002.160-024 L9[ '! 1
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of dat f Mortgage/ ntract indebtedness unpaid as of Is thl e applicant
t the
sole
er?
assessment date,current year assessment date,current year
$600,000.00 0Yes 0 No
If no,what is his/her exact share of Interest? If owned with someone other than spouse.Indicate with whom
Is the property In question:Annually Assessed
If name on record Is different than that of applicant.Indicate below: I Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Research Center, LLC dba Veterans United Home
-145t177 .1--t
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
1400 Veterans United Drive, Columbia, MO 65203 qOG
Name of assignee or other owner or holder of mortgage '.r-L-sj,,40
��es, � �2�1c
Address of assignee(number end street,city,state,and ZIP code) O
N Co`,NY.-
Does applicant own property I ny I If yes,what county? I What Taxing District? on propHas erty f r,y e n requested If yes,state amount of deduction
otherd county II I current year? �No
in Indiana? ❑YesNo
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c ra /pfdebtednass 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 fit f/s the basis for the deduction.
COUNTY AUDITOR
Deduction approved In the amount of:
I 20 I 20 1 20 I 20 l 2!)
20 20
I County Date(month,day,year)
Signature of County Auditor
1, e certify under the p naltyfofemenr that the
above
an n forege o
or attiioon Is true and correct and that the applicant Is a resident of Indiana and
buyerthe owner/contractf {Dete(month,day,year)
sI etude(owner's !t name) C-�Ic� I 08/22/2022
Full res nt ress of applicant(number and street,city,state,end ZIP code)
11333 South Brookview Court, Haubstadt, IN 47639 I Date(month,day,year)
Person authorized by duiy 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 years and=fine not to exceed$10,000.