HomeMy WebLinkAboutMortgage_Luttrull (3) ix.`"-'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
RECEIVED Gibson oOka� 2022
''�� State Form 43709(R14/1-20)
Prescribed by Department of Local Government Finance
JAN 0 5 2023 File Mark
INSTRUCTIONS: To be filed in person or by mail. Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought 0 \.C unty Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the prop
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)
Kevin W.Luttrull and Jodi C. Luttrull
Taxing Dis ct 0 t; Q I Key number/legal description Record nurwt?er Page nu erz4
t//•D 26-12-18-103-004.405-028/Lot 7 Pt Lot 8 Baldwin Heights Block 3 S
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,current year assessment date,current year date of application legal or uitable owner?
$220,300.00 $260,101.00 17Q Yes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom i/)
If name on record is different than that of applicant,indicate below: I he property in question:Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
United Wholesale Mortgage, LLC ISAOA/ATIMA
Address of mortgagee or contract seller(number and street,city,state,and Z/P code)
P.O. Box 202028, Florence,SC 29502-2028
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deductio,��,b(�en requested If yes,state amount of deduction
other county on property for L1J�Yes ❑ NO
in Indiana? ❑Yes ❑ NO current year? 6/
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c ntract 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 office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Auditor`MI �/t County Date(mo h,day, ear)
' koev 1i6vIs Gibson I Z '� 2
2--
II We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a reside t of I lana and
owner I contract buyer of the aforementioned property on date applicatio is filed. p((y�qy
Signa a(owners full n me) / _ --- ia0(�r�l,lei,9
Full resident address of applicant(number anan treet,cit s e,and ZIP code) l /// LLL
416 W Garfield Ave, 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)
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