HomeMy WebLinkAboutMortgage_Kissingerd/.","�o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS t ' T i � Year
:a_.,. 1 FOR DEDUCTION FROM ASSESSED VALUATION
��.�' SwceFOrma3709(Rto/tt-0e) �bson Jo nso
Prescnbed Dy DeparUnent o/ Local GovemmeN Finance I
�INSTRUCTIONS: AUG O'O?�}j�
To 6e /Hed in person or by mail wi(h the CountyAUditor o/ the counry where the property is located.
Filing Dafes: iJ Real Property: Must file dunng the yeai for which !he deduction is sought. !�
2J Mobi(e /Manu/actured Homes nof assessetl as Real P�operty: Mosf file tlunng the 1weWe (72) months be7ore a (each year
the deducfion is sought.
See reverse sida foradditional insfructions and qualifications. GIBSON COUNTY AUDITOR
ApoGCant (owner w conNacf Ouyar � see 251nctions w+reverse side)
Wesley D. Kissinger and Erica L. Kissinger
Tad`g Djsmcl Key number / legal desaipUOn Remrtl number Page number
(� 2E7&35700-000.033-024/LOi 7 in Sunset Acres Sub �a— Q9(�
Assessetl vaWe of real property as ol Mortgage / Convaa irWebtaCness unpaid as of Mortgage I ContraU indebtednass unpaid az of Is Iha applicant the mle
March 1, armnt year MarU� 1, wnent yea� date o( apP���n legal or equitable owner?
5174,800.00 ❑X Yes ❑ No
It no, what is N5 / her ezact share of interest? tl ovmetl vnih someone other than spouse, indiwte vnih whom
It name on record is difterent lhan Ihai of aoo6rant. indicale bebw: Is Ne pmperty in Question: MnuaP/ Pssessed
❑X Real Property Q MnualyAssessed
Mobile Hwne QC 61.1-7)
IName of mortgagee or conUacl seAer
United Fideliry Bank, fsb
Address of mortgagae w conUacl se�er (number antl stree4 �ny. s+afe. arM ZIP crotle)
78 NW Fourtb Street Evansville, IN 47708
Name of assignee or oNer owner w 1dGer of rtar.gage
Atldress of assignea (numDer arM 5Lee4 �: state, and ZIP co0e)
Does applicant avn property i^ any oNer If yes, what county? What Tazing Distritt? Has Utis CeEUCtim been requested on property
counry in InGiana? tor wrteni yeaR
❑ Yes � No ❑ Yes ❑ No
GOUNTY AUDITOR
DeducGOn appmveG in I�e amount ot.
20 20 20 20 20 20 20
Sgna:ure of CounryAUditor Counry Date (monN. day, yea�
1/ We cerfify under the penalty of perjury that the above and foregoing infortnation is We and cortect and Nat ihe applicant is a resitlent of Intliana and
owner / conVact buyer of the aforemenUoned pmperty on date applicaUOn is filed.
ryre ( wne/ IMI nam � ' ' Date (rtwn , tlQay, eah
� �� 0
rW resident aC ess I applica^t (^ erarW sfreet, city, sfafe, anC ZlPCotle)
9819 S. J Lane Haubs dt, IN 47639
Person aut otlzetl Cy tluty exe tetl Power ofMOmey or Ey IG Gt.1-12-0J Date (monN. day. yea�
Address of auNOraetl permn (num0er arrd 512ef. ciry, state, and ZIP rotle)