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HomeMy WebLinkAboutMortgage_Farney ,f -� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year L1 :.� FOR DEDUCTION FROM ASSESSED VALUATION State Form 43709(R14/1-20) Gibson Union 2022 -.- ' Prescribed by Department of Local Government Finance File Mark INSTRUCTIONS: To be filed in person or by mail. Form filed with: Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 0 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) Brandon&Lexus Famey Taxing District Key number/legal description Record number Page number Union 26-19-08-300-002.457-025 2020 2687 Assessed value of reel property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole assessment date,current year assessment date,current year date of application legal or equitable owner? $ 270,000 ki 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 0 Real Property El Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller 11 ' Farm Credit Mid America -1 I L L Address of mortgagee or contract seller(number and street,city,state,and ZIP code) Name of assignee or other owner or holder of mortgage N O V 4 2022 Address of assignee(number and street,city,state,and ZIP code) �yy�� 2.us./irxI Q J/Ir.�ti �7Q.) Does applicant own property in any If yes,what county? What Taxing District? Has this deduction beerP, c r i1t?tiA r)tef�eduction other county on property for ElYes ❑No in Indiana? ❑Yes ©No current year? A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract 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 1 20 Signature of Coor Co tY Date(month,day,year) kl f Gibson t `�� I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a`resident of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Sigf lure(owner's full name) <r�J1J�/ Date(month,day.year) SS���rqyyJJyy''�� ` GV.ti►beran- a :1 10/ 1 12ur22 Fresidentss of applicant(number and et,city,state,and ZIP code) 1208 E 650 S, Ft. Branch, IN 4 48 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) The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed S10,000. RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDN [ 'J L l Name of applicant Name of mortgagee or contract seller Brandon&Lexus Farney Farm Credit Mid America Date filed(month,day,year) Amount of indebtedness Taxing District tlj kld-c - $270,000 Union NOV 4 2022 Key number I legal description 26-19-08-300-002.457-025 Signature of County Auditor/ Jy(;oe � + County GI a �/' iGbson GIB AYSA AUDITOR