HomeMy WebLinkAboutMortgage_LLC (13) 0-ii,o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
ff :, FOR DEDUCTION FROM ASSESSED VALUATION t `�/�
t . E) State Form 43709(R13/10-15) )Z ` 0 2- ��
.�� Prescribed by Department of I Government Finance
-��.... 1
INSTRUCTIONS: 1 File Mark
To be filed in person or by mail. c11 0 2 L Fo filed with:
Filing Dates: 1) Real Property:Must be co ete an.6- =din the ca ndar year for which the deduction is s t.
Must be filed or postmarked with the !• my Auditor or County Recorder of the county where th prop y is County Auditor
located on or before January 5 of the/ ediately succeeding calendar year. County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county
where the property is located during the twelve(12)months before March 31 of each year the deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Abner Homes and Contracting LLC
Toxin District - 7 r� Key number/legal description Recordnumber Page numler�^�
0 (//Jv� 26-12-07-403-000.103-028/SUMMERS ADD 25 PT;SUMMERS ADD 25 PT ��tj' IQ�J V
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Assessed value of real piuinsity 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 eauitable owner?
87.550.00 Y 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: FILED Is the property in question:Annually Assessed
x Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortoaaee or contract seller
ClearEdge Lending LLC a Delaware Limited Liability Company DEC 3`0 2022
Address of mortoaaee or contract seller(number and street.city state.and ZIP code)
20 Enterprise.Ste 350.Aliso Vieio.CA 92656
Name of assignee or other owner or holder of mortgage [.,GC C.G. 240_NtG
•
GIBSON COUNTY AUDITO)
Address of assignee(number and street.city,state.and ZIP code)
Does applicant own property in an - If yes,what county? What Taxing District? Has this deduction n requested If yes,state amount of deduction
other county on property for ❑No
in Indiana? ❑Yes o current year? Yes
A person is not entitled tot is deduction unless the person has a balance on the person's mortgage or n ct 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 off/c th is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 I 20 vi
2 20 20 20 • 20
Signature of Count 1 A ^��-%1N County ` Date th.ba ear)
1,We certify u der the penalty of perjury that th ve and foregoing information is tII d correct and that the applicant is a resident of diana and
owner/contract buyer of the aforementioned property on date application is filed. i.
Si re(owner' IF name) Date(month,day,year)
lali(.. d
F sident address of applicant(number and street.atv"stete.and ZIP code)
420 E Mulberry St,Princeton,IN 47670
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$10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant am
Abner'..es and Contracting LLC ClearEdge Lending LLC a Delaware Limited Liability Company
Date filed(month.day.year) Amount of indehtertnecc Taxing District
87.550.00
Key number/legal description
26-12-07-403 •r.103-028/SUMMERS ADD 25 PT;SUMMERS ADD 25 PT
Signature of County Auditor/County Recorder Coun ) month.day.year)