HomeMy WebLinkAboutMortgage_Forkel-Matte c'�"—o. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
i ) i FOR DEDUCTION FROM ASSESSED VALUATION CGibson 02L( 2022
State Form 43709(R14/1-20) RECEIVED
Prescribed by Department of Local Govemmen inance _
�c`X/ 1 OCT t/ 4 2022 Filets filed with:
INSTRUCTIONS: To be filed In person or by mail. w Form
Filing Date: Form 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 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)
Hannah E.Forkel-Matte and Lucas K.Matte
Taxing District
Key number/legal description Record number Page number l
C J` escrp
O tY\S O`\ 26-18-33-100-002.819-024/PT W NW 33 3 11 4 AC 7-0 22— 3 sl I
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 eq le owner?
$0.00 $531,223.08 es 0 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 operty In question:Annually Assessed !
LED Real Property El Assessed
Name of mortgagee or contrail FT Mobile Home(IC 6-1.1-7)seller ■1
Farm Credit Mid-America, FLCA
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 0 C T 0 4 2022
12501 Lakefront Place,Louisville, KY 40299
Name of assignee or other owner or holder of mortgage
tom. 1 .46;,+,-)
Address of assignee(number and street,city,state,and ZIP code) GIBSON COUNTY AUDITO,
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction n requested If yes,state amount of deduction
other county 0 Yes 0 No _ currentperty for Yes 0 No
in Indiana?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or con 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)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 County Date n day,year)
• \)3t) tMru Gibson
I/We certify under penalty of perjury that the above and foregoing information Is true and correct and that the applicant Is a re ide of Indiana and
owner/contract buyer of the aforementioned props on date appii tion Is filed.
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ts�rns �r
Sig r�a yre(owner's NI name) ////
Full resident address offaappicicant(number and street,city,state,and ZIP code)
9690 S.450 W.,Cynthiana, IN 47612 Date(month,day,year)
Person authorized by duly 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)
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