HomeMy WebLinkAboutMortgage_Barrell (2) •—"`. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year�s FOR DEDUCTION FROM ASSESSED VALUATION
laj State Form 43709(R11 6-09) RECEIVED Gibson -Princeton- 2022
°..,.__ Prescribed by Department of Local Government Finance
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�� \ SEP Z 6 2012
INSTRUCTIONS: File Mark
To be filed in person or by mail.
Filing Dates: 1.) Real Property: Must be completed and dated in the len ar year for which the deduction is sought. Form filed with:
Must be filed with the County Auditor or County Recorder he county where the property is located
on or before January 5 of the immediately succeeding calendar year. El County Auditor
2.) Mobile/Manufactured Home not assessed as real Property: Must file with the County Auditor of the County Recorder
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)
* Lindsey Barrell
Taxing District Key number/legal description p p Record number Page numb r
O2� *PT SE 18 2 10 2.28 AC %)-11- tp'WkA-000.o -b2-3- 7_,0ZL
Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness Is the applicant the sole
March 1,current year as of March 1,current year. unpaid as of date of application legal or equitable owner?
* $0.00 *$0.00 *$212,121.00 ❑x Yes ❑No
If no,what is his/her exact share of interest? �7 f ne 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
2.6 2022 0 Real Property ❑ Annually Assessed
SEP Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
* Bank of England Mortgage AA //jj
Address of mortgagee or contract seller(number and street, city,statellailz24'' b_//�e ' AUDITC
* PO Box 3490,Little Rock,AR 72203 rIBSON U1
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city, state,and ZIP code)
Does applicant own property in any other In yes,what county? What Taxing District? Has this deduction been re ested on property
county in Indiana? for current year?
❑ Yes 0 No Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 2 20 ` 20 20 20
Signature of County Auditor vl County l Date(pap tl�da�t '22_
aijozp
/I/We certify under the penalty of perjury that the ab and foregoing information is ru and correct and that the applicant is residenf Indiana and
owner/ ontract buyer of the aforementio property on date application is filed.
Sig lownrr's full na ) Date(month, day,year)
04.. 09/16/2022
Full resident address "-app icant(number and street,city, state,and ZIP code)
* 476 E 150 S,Prin ton, IN 47670
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)