HomeMy WebLinkAboutMortgage_Dilbeck (10) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Co my Township Year
a ':' r�'1 FOR DEDUCTION FROM ASSESSED VALUATION..
Z 20 22
,/l, y ,,� 1 State Form 43709(R13/10-15) 0 ,Li`r' t O
` •%' Prescribed by Department of Local Government Finance AUG Q 4 2022 File Mark
INSTRUCTIONS: lZe )a Form fi ed with:
To be filed in person or by mail.
Filing Dates: 1) Real Property:Must completed and dated in the cater r r for which the deduction is sought. )�� CountyAuditor
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 immediately succeeding calendar year. al County Recorder
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)
Dilbeck,Drew Michael . _..
Taxlno District ^ I Key number/leaaldescriotion I Record number Page number
2 O 26-18-06-300-000.022-022/Fox Run Estates 9;Fox Run Estates 8PT;Fox Run Estates �2 Z L,cas
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant t sitable oles
assessment date.current vear assessment
sssent date,current year date of aoolication legal
214,051.00 x 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
x Real Propert O Annual Assessed 7
Name of rmrtaaaee or contract seller It
IOILtiI )
Plaza Home Mortgage,LLC ISAOA ZZ
Addr ,v(.oa�'`-j-/I-'>C J1/a� \ ty.state,and ZIP cods n^ OCT 1 Q 2022
C \
e) GIBSON COUNTY AUDITO,
What Taxing District? Has this deductio requested If yes,state amount of deduction
on property for Q No
current year? Yes
has a balance on the person's mortgage o co Tact indebtedness that is recorded in the county
g O !�Ol— \\S\2) at is recorded in the county recorder's office)th t is the basis for the deduction.
COUNTY AUDITOR •
20 20 20 20
County Date( nth day,year)
I I I 1ki �� ''1 51-[3 21—
I/We certify under the penalty of perjury that the above and foregoing information is and correct and that the applican+d is a esident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Si nature(owner's full name) �!' _/J// D e(month,day.year)
Full resident address of applicant(number and street.cite state,and ZIP code)
708 Water Tower Rd,Owensville,IN 47665
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 VP code)
—. .. — __-....-. ---:.-.,.,,,ao r,„,..icf-un mart un to twn and a half years and a fine not to exceed S10.000.