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HomeMy WebLinkAboutMortgage_Hunt (8) =4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year ,•r•.', ; FOR DEDUCTION FROM ASSESSED VALUATION RECEIV U O� a� f State Form 43709(R14/1-20) Gibson 2022 s`-- -' Prescribed by Department of Local Government Finance NOV 1 5 20 2 .---- ^ File Mark INSTRUCTIONS:To be filed in person or by mail. 1 .4 C r; C S 1�� �C Form reed with: Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 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) PATRICIA A.HUNT Keynumber/legal description Record number Partt�m ��- Taxing DisMc34_ �iT�3 Z,G)_ (Jl 26-13-13 402-000.237-007 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,currentyear date of application legal or equ ble owner? assessment date,current year [y7Yes ❑ No 103,098.00 If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom T J' I, Is th roperty in question:Annually Assessed If name on record is different than that of applicant,indicate belo eal Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller DEC 0 1 2GL2 CALIBER HOME LOANS INC. Address of mortgagee or contract seller(number and street,city s te,and ZIP code) J` 1 a. 1525 S Beltline Road,Coppell,TX 75019 GIBSON COUNTY AUDITOR Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city.state,and ZIP code) What TaxingDistrict? Has this ded n requ Does applicant own property in any If yes,what county? d If yes,state amount of deductionon property for other county current year? Yes No in Indiana? ❑Yes No A person is not entitled to this deduction unless the person has a balance on the person's mortgage or co ract inde tedness 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 County \ Date(mon day,year) Signature of County AucJ(tor_ (---(1))7ry that the above and foregoing information i e and correct and that the applicant is resi�� LSO 1'. t Z o` f ' ••i?— I/We certify under entthhe\Jlpenalty nvwof'perjju of Indiana and owner/contract buyer of the aforementioned property on date application is filed.SignaI Date(month,day,year) re(ownsfulln > V er' ame) i J' ) ) J October 14,2022 Full resident address of applicant(number and street.city,state,and ZIP code) 118 N 2nd Avenue,Oakland City,IN 47660-1006 Date(month,day,year) Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 October 14,2022 Address of authorized person (number and street,city,state,and ZIP code) r.-_ _-,-...,a.....fn,nnr,,.r1i ran inntllyde imnricnnmont lrn to turn nnN n half,,aarc an.-1-,r^^ ^ems s.....••..-•-•+e4n nnn