HomeMy WebLinkAboutMortgage_Parmer`�'!o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun I 7ownship I Year
♦._., 3 FOR DEDUCTION FROM ASSESSED VALUATION /
� State Form G3709 (R11 / 6-09) (/
�� —� Prescnbetl by Department of Local Govemmen� Finance
File ar
INSTRUCTIONS: p
To be filed in person or 6y mail. `) E P � ��
Filing Dates: 7) Real Property: Musf be comp/eted and dafed in the calendar year (or which the tladuction is soughf.
Must be filed wifh the CountyAudifor o� County Recorder ol fhe county where the property is located ❑ Coun[y Auditor
on or belore January 5 o7(he immetliarety succeeCing calendar yeac � � Counry Remrder
2) Mo6ile / Manu7actured Homes no( assessed as Real Property: Musf file wifh the CountyAUditor o/the �
counfy where the property is locafed dunng the rtvelve (12J months befo2 March 37 olea�g���OUNTY AUDITOR
deducfion is sought.
See raverse side lor additional insfrucfions and qualifica[ions.
Applicant (owner w cronNaU Duyer - see resfiiclions wr reverse side)
MATTHEW R. PARMER AND AMY M. PARMER
�azi`g Disinct Key number / legal tlasaipUOn RecorE numGer Page number
� HAUBSTADT 26-1&36-403-000.714-009 a� � p -�
Assessed vaWe U real property as of Martgage / ConvaG iMeWedness unpaid as d Mwtgage / Con;raG iMebtedness unpaid az ol Is Ne applifant Ne sde
Mard� 1, artent year March 1, artent year date of appliration legal or equitaWe awneR
183,500 126,800 120,000 ❑� Yes ❑ No
It no, what is his l her ezatt share of inierest? 1( wmeE wiN someone oNer Nan spouse, intlicate with whwn
II name on recorE is di3erent Nan ihat o( applicani, i�Micata Eebw Is �he pmperty in question: Mnualty Assessad
Q Real Roperty ❑ MnuaOyAssessed
Mobile Home QC 61.7-7)
Name o� mortgagee or tonUad seAer
OLD NATIONAL BANK
Atltlress ot mortgagea or mntrac� seller (numberand streef, city, slate, and ZIP code)
1 MAIN ST EVANSVILLE IN 47708
Name al assignee or oNer awner or holCer o( rtiortgage
A4tlress of assignee (num0er and street. ury, stare. and ZIP code)
Does appliwnt own pmperry in any olher If yes, whal counry? What Taxing Oiso-iU7 Has Nis deduction been reryuesteE on Droperty
caunty in InEia�? for cunent yeaR
❑ Yes ❑ No ❑ Yes ❑ No