HomeMy WebLinkAboutMortgage_Hawthorne .0f- STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
4.-e lfp FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709(R14/1-20) RECEIVED Gibson P I:10‘'(0 2023
Prescribed by Department of Local Gove nment Finance
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INSTRUCTIONS:To be filed in person or by mail. / . ' JAN 0 3 2023 File Mark
Form ed 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)
Todd J.Hawthorne and Jennifer Hawthorne
Taxing District Key number/legal description Record number Peer„
027 26-11-13-100-004.406-027(Parent Parcel)/PT NE 13 2 11 0.75 AC D-1,Gibson County v o (,�(XJ O
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of date f Mortgageapplication/Contrct indebtedness unpaid as of Is legal a epli antle the sole
assessment date,current year assessment date,current year
199,494.00 ® 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: Is the property in question:Annually Assessed
IX Real Property D Mobile Annually
Home(IC 6-1.1-7)
Name of mortgagee or contract seller FIT ,ED
Home Point Financial Corporation
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
2211 Old Earhart Road,Suite 250,Ann Arbor,MI 48105 !f
Name of assignee or other owner or holder of mortgage h�DEC� 3 O 2022
Address of assignee(number and street,city,state,and ZIP code) t�//u+'.,f4C a. .!/P J
GIBSON COUNTY A DIT R
Does applicant own prope in any If yes,what county? What Taxing District? Has this deducti b n requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes o current year? Yes 0 No
A person is not entitled this 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 offic )th is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Auditorpir)Pik R County Date(mjtth.d y, ear) .
I I We certify under the penalty of perjury that the above and foregoing information is tr d correct and that the applicant a r sident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
mature(o er's f e) , I Date(month,day,year)
J December 21, 2022
Full resident a ress of applicant( umber an street,city,state,and ZIP code)
886 West McCarty Road Princeton, IN 47670
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year)
December 21, 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.