HomeMy WebLinkAboutMortgage_Kramer (2) n - _ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS county Township Year
- FOR DEDUCTION FROM ASSESSED VALUATION
- , Gson 009 2022
`� Ptel Dore dbya9(R1e r rb sent
Pmeacnbed by Otil�aranant od Local Government Finance Fite Mark
INSTRUCTIONS: to be Fed in parson or by mad. Form rasa..en
Filing Date' Form must be completed and elated er ins calendar year 1w which ere deduction is sought 0 County Auditor
Must be Pied or poet-reified wan the County Auditor or County Recorder of the county where the property is County Recorder
located on or befo✓e lama!5 of the calendar year in which the property tares are test due and payable
See reverse side for add,tcnar instnscoo'ts and gassier-shone
Accecev Romer a con sot o yes-use ern on re.«a swan
Kramer,Caleb J mamma Page as e
Taring Dom. Ker'number J Ram
description 2022 1 4612
009 26-19-31-301-000.442-009
/Comma indebtedness unpaid as ot Montre I Connaa indebtedness antxael o of ;'ems .r+
i es afltn raise of ram nt year
e and arsaasmmsen<eau,r>m>irtt year tl21 d,500 non
.n data.oars. 212.500 ®Yes ❑Na
�3l no.shetm Ms/her exact snare of atsrnt?
if awned with someone other than spouse.Mdrtals anth wtotn
',___ rapartY m aw.atwn:Abe/any Amassed
If mime m mooed:s dete.ari than out of epp+�nl F T J F, ■■■7f�il p_K2'at Property ❑Annually Assessed ,
Mobile Home(IC 61.7-T)
Named mortgagee.«contact seder
Servion Inc
Andress of mortgagee or contract meter(number end street city.state,and ZIP code) F 0 9 2022
•
Canto of assignee or other owner or bolder of mortgage t./ /f/�Address of atta,gnee(number and street+dY.»..and ZIP code) 7{mot a i Y 7' z,,.L-Yr
Does�ytly own Per:n any If yes,what county? l What Taxing s 0 N mar�t 1 0 111 yes,state amount of deduction
1mry�courtly current year?ursn i enfie QNo
A parson is not erittdetl to this deduction unless the person has a defence on the person's mortgage Or contract Indebtedness that is recorded M the county
recorders office(including any bane equity lane 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 f
20_ 20 ` 20 20 I 20
County loate{ th. �2_
s�admdcal �S Gson
I r We certify under the penalty of perjury that the.••ve and foregoing information is true and correct and that the applicant is areside of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Dab(month dey,year)
hat ownr's(ef]uename) n, /t 1 2/C9/2021-
Full residentadDreds of applicant(number and street.city,state.and ZIP coda)
104 N Race ST,Haub,IN 47639 Iw a unarm.day,year)
Person authorized by duly executed Power of Atlomey or by IC 6-t.1-12-0 7
Address of authorized parson(number and street.city.state.and ZIP code)
The penalties for perjury can include impnsonment up to two and a half years and a fine not to exceed S10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant \Name of mortgagee or contract seller
Kramer,Caleb J Servion Inc
Amount of Indebtedness Taxing District
Dam Cited(month:� raar 009
. � Q 2Z-- 212.500 (
Key number I legal deocnPtion Z �� ( / ,
26-19-31-301-000.442 nos �,ts \Date(rnoof.dly,yeN Z
Slgrmtwe o/County Auditor(Courty�Recorder_ 0,‘. )
acoroer ) I GOn
iy4 .