HomeMy WebLinkAboutMortgage_Etzkorn I
.co'.Z. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
d '1 A FOR DEDUCTION FROM ASSESSED VALUATION Gibson OZt 2022
State Form 43709(R14/1-20) RECENEn
�' ... Prescribed by Department of Local Government Finance _
/ iT4 d 1 c_ OCT 1 a 2022 File Mark
INSTRUCTIONS: To be filed in person or by mail. Frr
o�rm filed with:
Filing Date: Form must be completed and dated in the calendar year for w ch the deduction is sought. Lr I 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. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Steven Etzkom and Nora Etzkom
Taxing District ...(t Key number/legal description Record nyoh4r Pate^s;�(
Owens ' \'IOth 26-17-09-200-004.919-021 /W INYARD PLACE 37/38 `2�L-
A �— /�t#1-\lam�J
essed value of real prop as Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the Is al applir cant
tee sole
assessment date,current year assessment date,current year date of application 9
er?
$0.00 $335,416.00 Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: s th property in question:Annually Assessed
FILE ►� -al Property ElAnnuallyMobileHome Assessed(IC
6-1.1-7)
Name of mortgagee or contract seller
Mortgage Research Center LLC dba Veterans United Home Loans OCT 14 2022
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
1400 Veterans United Dr.,Columbia, MO 65203 `
Name of assignee or other owner or holder of mortgage Lal� aJT
GIBSON COUNTY AUDITC
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deducti en requested If yes,state amount of deduction
othercounty on property for Yes CI No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or ont
in Indiana? ❑Yes ❑ No current year? [r!/ mac
t indebtedness that is recorded in the county
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County AuditoIA County Date.tt�ntM y )�Z.
�$ Gibson L V \ l '(1N�
I/We certify under penalty of perjury that ove and foregoing Information is true and correct and that the applicant is a resid nt of 1 diana and
owner I contract buyer of the aforementioperty oJ Jdate •• 'cation Is filed. rLLfry,,�y�����§
Signa (o
wnefull na Full re e,an ZIPle)• flJ\ (/�I
9921 W 575 S,Owensville, IN 47665 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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
Steven Etzkorn and Nora Etzkorn Mortgage Research Center LLC dba Veterans United Home Loans
Date filed nth,day,year Amount of indebtedness Taxing ct
10-\ck- 22- _ $335,416.00 FILL t ct ``
Key number/legal description �l ^2 2 ��'1 O O "U
26-17-09-200-004.919-021 /WINYARD P 37/38
l� C-3 m
Signature of County Auditor/County Recorder 1 2U22 Dat rponth d, ay,yr�rj
0
N my
,ia0
GIBSON COUNTY AUDITOR