HomeMy WebLinkAboutMortgage_Epperson.+..,:+o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township � Year
-a..,_ S FOR DEDUCTION FROM ASSESSED VALUATION
�'• � State Fwm 43709 (R71 / 6-09)
��� � PrewiGed by Oepartmeni ol Local Govemment Finance �
INSTRUCTIONS:
To be filed in person or by mail. d�Nz O' 0
Filing Dates: 7) Real Property: Musf be completetl and dated in !he calendar yaar /or which the detluction is soughL Coun Auditor
Must be filed wi(h tAe County Auditor or County Recorder ol the county whera fhe pmperfy is locafed ry
on or before January 5 0l fhe immediately succeeding calendar year. ❑�o ry Recorder
2J Mo6ile /Manufacfured Homes nof assessed as Real P�opeRy. Must file with the CountyAuditor o/1he
counry where the property is located dunng the Iwelve (72J months be(ole March 37 0( each year the
deduc�ion is sought. q19SON COUNTY AUDITOR
See reverse side (or additional insfructions and qualifica[ions.
App6wm (owncr w convact Duyer - see resfrictions on reverse side)
SKYLER EPPERSON AND JENNIFER EPPERSON
�adng Distrxt Key number / legal tlesmptian Record number Page numbar
JOHNSON 2622-16-700-002.164-024 �I 5q� O
Assesse0 vaWe U 2a1 yoperty as of Mortgage / ConVaa indeGeCness unpaid as W Mortgaga / Con;rad indebtedness unpaid as ot Is Ne apd��m ihe sde
Mart�h 1, wrtent year March 1, wRent year date ot appGfation legal or equitable owne�+
143,700 (03 00 705,000 ❑� Yes ❑ No
If no, what is his I her ezact share oi interest? II owned wN wmaone other than spouse, inEicate wiN whwn
If name on �ecorE is diPerent ihan ihat of applicani, iMiwie bebw: Is Ne property in question: MnuaDy AssesseO
❑� Real Property ❑ MnuaOyAssessed
Mobile Home (IC 67.1-7)
Nama of mortgagee w mnVad se0er
HERITAGE FEDERAL CREDIT UNION
Adtlress of mwtgagee ar mnvact seDer (number aiW .weet, ary. state, aM ZIP code)
5388 OLD STATE RD 66 NEWBURGH IN 47629
Name of assignee or mtier owner or holder of feprtgage
AECress of assignee (num0er and sUeet, dry, state, and Z/P wde) '
Does appGfant own property in any oNer If yes, what wunry? KTat Tadng DistriU7 Has Nis deGUdion been requesteC on property
counryinlndiana? ❑ No (orwnentyea/?
❑ Yes ❑ Yes ❑ No