HomeMy WebLinkAboutMortgage_Greenwell ,,...5---,,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
lei ' - FOR DEDUCTION FROM ASSESSED VALUATION ` ,^
<tate Form 43709(R13/10-15) RECEIVED G`J„Son 02- �27__
eSo Prescribed by Depa t of Local Government Finance J
INSTRUCTIONS: e T File Mark
To be flied in person or by mail. O� \ �C I 2U22 Form filed with:
Filing Dates: 1) Real Property:Must be detect and dated in the calendar year for which the deduction is sought. ,�(
Must be filed or postmarks with the County Auditor or County Recorder of the county where the property is IXJ County Auditor
located on or before January 5 of the immediately succeeding calendar year. /L�J 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)
Greenwell,Gregory A and Kelle
Taxing District Key number/leoal description Record number Page number
Princeton City 26-12-18-103-000.008-028/MCKAW SUM 7PT/SPT/9/10 �02Z . 41?
A sess..d 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 vear assessment date,current year date of application legal or eauitable owner?
134.400.00 52200.00 60.000.00 K 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
Real Property ❑ nnually Assessed
Mobile Home 6-1.1a>
Name of mortaaaee or contract seller F,I_T,-...../E
GVC Mortgage.Inc.ISAOA
Address of mortgagee or contract seller(number and street.city.state.and ZIP code) OCT 2 4 ZUZ2
600 Corooration Drive.Suite 200.Pendleton.IN 46064
Name of assignee or other owner or holder of mortgage a..�� g`,.Y_'
)2e(, a Y Af1JD1T^OraR
Address of assignee(number and street.city,state.and ZIP code) E;1B$ON
Does applicant own property in any If yes,what county? What Taxing District? Has this deducti n n requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes o current year? Yes ❑No
A person is not entitl to tht deduction unless the person has a balance on the person's mortgage or n act 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 I County \ Date(month,day.year)
Mc>L Y+‘SO - n to -2 LA-2o 22- .
I/We certify under the penalty of perjury that the above and foregoing information is true4id correct and that the applicant is a resident of Indiana and
•
- owner/contract buyer of the aforementioned property on date application is filed. (
ure Hers full name) .D,,,. a (month,day.year)
Full sident ress oolirant(number and stye - t v state.and ZI corlel
1405 Virgil Blvd.Princeton.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)
rha nenaitie_s for neriury can include imnrisnnment LID to two and a half veers and a fine not In exceed$10.000.