HomeMy WebLinkAboutMortgage_Lin STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
° ' '`"` RECEIVED Gibson Patoka 022
it - , FOR DEDUCTION FROM ASSESSED VALUATION
J State Form 43709(R14/1-20)
Prescribed by Department of Local Government Finance ; DEC 1 n 2022 File Mark
y •'Ti ' r� � J L 03'.-- g Fo filed with:
INSTRUCTIONS: To be filed in person or by mail. �(\ County Auditor
Filing Date: Form be l ostmarked withed in the the County�tor or County Recorder of the r year for which the deduction icounty sought.
where the property
Must be filed or p
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. 111 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Huo Quan Lin and Jinfang Tao Record numberr' PagJ�e be O
er
Taxing District O 2� ley lumber legal description C. J
Pat J 126-11-15-202-004.781-027/Lot 50 White Church Crossing `ZOIs
essed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage date of application Contract indebtedness unpaid as of Is thel or applicant
ppli tat tee sole
assessment date,current year assessment date,current year l�eS El No
n
If no,,what is /her exact share of interest?
er?
$170,000.00
If i I If owned with someone other than spouse,indicate with whom
his
Is th roperty in question:Annually Assessed
If name on record is different than that of applicant,indicate below: T Real Property 0 Annually Assessed■■ JIB Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller 2 12022
Rocket Mortgage, LLC, ISAOA I t F C
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) ,/
1050 Woodward Avenue,Detroit, MI 48226-1906 ,f�Zcc�a� �. LYt�`.�i�na.l
Name of assignee or other owner or holder of mortgage GIBSON COUNTY AUDITOF-
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in ywhat county?? What Taxing District? Has this deductio b en requested If yes,state amount of deduction
If yes, on property for Yes ❑ NO
ne county ❑Yes NO current year?
in person is not ntitled to
A
recorder's off cee(includingthis deducton unless any home lequity line tof credit that's recorded in the county recorder's office that is thebasis for th indebdnesse deductiat is ed in the county
onn
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20
20 20 County 2 ` th�daZ )
Signature of County Auditor 1'1 as��5 Gibson
I I We certify under penalty of perjury that the 0.1;and foregoing information is true and correct and that the applicant is a reside t of Indiana and
owner/contract buyer of the aforementioned property on date application is filed. Datej(rtto �
• Signature(o er's full na e, ?
Full residen 'ddress of applicant(number and street,city,sta e, ='•ZIP code)
2534 W Susan Drive,Princeton, IN 47670 Date(month,day,year)
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0-7
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 MORTGAGE OR NONTofRACgTgINDEee or BTEDNESS
Order No. LLC, ISAOA
Name of applicant 122-2188 tract seller
R ket o g 9
Huo Quan Lin and Jinfang Tao • x' ° Regional Title Services
Date filed nth,day,year)
Amount of indebtednessaY a
t1O 2 Z 2_ $170,000.00
Key number/legal description Crossing
DEC 2 12022`L�L2-- S'tk.c-t 0
26-11-15 202-004.781-027/Lot 50 White CIpU7$� County Date(mont day,, ear)
Signature of County Auditor/County Records - I I '2'• `�Z
Vr�/�I Gibsoa'% �'• L�lr��,b-� o n
GIBSON COUNTY AUDIT( ram-. t