HomeMy WebLinkAboutMortgage_Munnier (2) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
` ' FOR DEDUCTION FROM ASSESSED VALUATION Gibson 0 2C 2022
,1/4. _. State Form 43709(R14/1-20)
Prescribed 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. Q 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)
Kathelyn Kinsall Munnier and Bryan Munnier
Taxing District ^!J�6 Key number/legal description Rgcord number� Page num er
26-19-18-302-000.733-026/ HILLCREST 47PT �2 3ct
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of s te o apr egcant the
sole
assessment date,current year assessment date,current year date of applicationlegal
$0.00 $200,000.00 Q 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: Is the property in question:Annually Assessed
Q Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Union Home Mortgage Corp.
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) FILED
8241 Dow Circle W., Strongsville, OH 44136
Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) S E P 0 8 ?1 i i)
Does applicant own property in any If yes,what county? What Taxing District? Has this deductio b-en requested If yes,state amount of deduction
other county on property for ,��d_. � ,,1�;
in Indiana? Yes Q No current year? c BSON COUP Y AUDITOR
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or cont =c debtedness 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 C my Date( _monthear)�
I AA-ILL '� bson d C7�)
X.
I/We certify under penalty of perjury that the above and 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.
tur (owner's full name) \/ _ I Dat9.(fyonJ aF
o
ull re ident addres f ap% cant(number and street,city,state,and Z
606 E. Ulen St., Fort Branch, IN 47648
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.