HomeMy WebLinkAboutMortgage_Bartell°i * STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
0.§ FOR DEDUCTION FROM ASSESSED VALUATION
�• �' State Form d37�9 (R71 / 6-09) Gibson Patoka 2012
•� -� I PrescriOeG by Oepartment of Local Govemmen[ Finance
�INSTRUCTIONS: File Mark•
To be filed in person or by mail. F faed ich:
Filing Dares: 7J Real Property: Must be tompleted and tlafed in !be calendar year lor which fhe deduclion is soug �
Must be filed with !he County Auditoi oi County Recorder o/ the county wheie the property is loca d 61 ���Y udit
on or belore January 5 o/the immediarefy succeedirrg calendar yeac B� t er
2) Mobile /Manulacfured Homes not assessed as Real Prope(ty.� Musf file wi(4 the Counry Audi(or o/ the
counfy where fhe pmperty is located dunng the fwelve (72) months be/ore March 37 ot each year fhe O � 1 qo ��
deduction is sought 1 �
See reverse side !or addi6onal instmcfions and quali/ira6ons.
Applircant (ownu w mNrdcf buyer - sea leSlricCons pn reverse sitle) �
Mark Robert 8 Lisa Carol Bartell
Ta�irg Diyrip Key number / legal descnption T�• A ber
Patoka Township 2605-2&300.001.774-027 SE SE SW 28-7-10 �(�`
Assessed value ot mal properry as ol Mortgage / ConUaa indebtedness unpaid as of MMgage / Crntraci indebtetlness unpaid as of Is Ne a0p��nt Ne sde
�AW�d+�'arten�Year Marchl,nirtentyear dateota lication
S 713.200.00 Po Iegal or eQUilaWe owne!!
$720,000.00 ❑� Yes ❑ No
It no, what is �is / her e..acl share ot interest? II oMnetl vn�h wmeone oNer than spouse, indi�te wiN whom
If name on record is Eiflerent than �hat d appiwnt, inEicate bebw: Is I�e propeny in puestion: MnualtyASSessetl
❑� Real Propetty ❑ MnualN Assessed
Name ot mortgage¢ w wntrzct seller
Old National Bank
AOCress of mortgagee or contract seper (number and weet, ury, 5are, artl
1 Main St, Evansville, IN 47708
Name of assig'ree or aNer owner w holder of morigage
l�dress of assignee (number and sveat, city. 5ate. antl ZIP code)
I Oues appiwnt own property in any other I II yes, what counir YYhat Tazing DiSUid? Has this Eeduction been reque5ied on pmperty
�munty in Irbiana? ❑ Iw a�rtent yeaR
Yes No ❑ Yes ❑ No