HomeMy WebLinkAboutMortgage_Dewig (15) �t.T-*.q, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
'i1 > State Form 43709(R14/1-20) RECEIVED Gibson 2023
•o�.%sue 1 Prescribed by Department of Local Government Finance 0
INSTRUCTIONS:To be filed in person or by mail.aA 1 t uln YNw \ NO V 0 4 2022 File Mark
�J"��\\ rmri with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property County Auditor
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)
Christopher S.Dewig and Kristin E.Hatton
Taxing District Key number/legal description Record numberb /�(�P�gecy�er
028 26-12-07-101-001.254-028/Cushman Add 26/27,Gibson County p�0�O-CO�.. yy ��
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 equitable owner?
140,303.00 IZ 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: F I Is theReal propertyProperty in question:Annually Assessed
® ❑ Annually Assessed
J J Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Mortgage Masters of Indiana Inc. NOV 1 1 2022
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
501 Cross Pointe Boulevard,Evansville,IN 47715 �L
Name of assignee or other owner or holder of mortgage t/ ,/�Z t2_ ue[�na.1
GIBSON COUNTY AUDITOR
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 dedu on b requested if yes,state amount of deduction
other county on property for
in Indiana? ❑Yes No current year? Yes ❑No
A person is not entitled t th deduction unless the person has a balance on the person's mortgage or 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 I 20 20 20
I
Signature of County Auditor County Date( onth day,year)
(`nUJc ( SO^ ����2 i'
I/We certify under the penalty of perjury that the above and foregoing information i ue and correct and that the applica is a r sident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(owner's full na/ne Date(month,c day,year)
/u(/,.(,�.�,Y)`a/�J\N\ October 28, 2022
Full resident address of applicant(number and street,city,state,and ZIP code)
427 West Oak Street Princeton, IN 47670
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year)
October 28, 2022
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 MORT E OR CONTRACT INDEBTEDNESS
Name of applicant Nam o g ee ar r
Christopher S.Dewig and Kristin E.Hatton Columbia Tltl& M g last rs, o
Date filed(month,day,year) 49J�RrT 9ftteff0ffl ,tedness axing District —. fa\\_ ` , Evansville,IN 47716 140,303.00 N0 V 1 ] 202 028rTi
0CI
Key number/legal description ""),c 'l 2- � �"'� •/ N m
26-12-07-101-001.254-028/Cushman Add 26/27,Gibson County67 / L� ` ti 0
Signature of County Auditor/County Recorder Co �•i�CIA'�Q,r�lz, t Date(month1 day,year)
w w5 GIBSCe Y AUDITOt. It VO PA'