HomeMy WebLinkAboutMortgage_Patterson (4).F"'�v STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count i shi r
°F. ';
e�,= FOR DEDUCTION FROM ASSESSED VALUATION
Sate Fortn 43709 (R7� / 6-09) Gibso to e 207
�'' Presrribed by Department a; Lacal Govemment Finance
�rRUCnorrs: F�� �ai�` 2012
6e filed in person o� 6y mail Fwm filed vnth:
=iling Dafes: iJ Real Property: Must 6e completed and dated in the calendar year (or which the detluction is sought. C•
Must 6e �led with Ihe CountyAudifor or Counry Recorder o! fhe county where Ihe properry is located n,y uditor
on or before January 5 01 [he immediately succeeding calendar year. GIBS N� Cpu�nty� corder
2) Mobile /Manufactured Homes not assessed as Real PropeRy: Must fil= with Ihe CountyAuditor of fhe �'1TY AUD TO
crounty where the pmp=rty is located dunng the ri�eNe (72J months be/ore March 31 of eacb year the
deduction is sought.
See 2verse side 70� adddional instructions and qualifications.
Apqiwnt (ovme� w contract buyer- see restnctions on reverse side)
Larry R. Patterson and Wanda F. Patterson �
Tavey DisWa Key number / legal descnp6on Rewrd num6er Page numher
Gibson 2s-os-aaisa-oo2.osa-o2� ��� a, � O rj
AssesseC value of real property as of Mortgage / Contrad indeb;edness unpaid as ot Mortgage / ConVact intlebtedness unpaid as of Is tt�e appliqnt �he sole
Marrh 1, artmt year March 1, cuRent year date ol application le3al or eqvitable owner?
129,800.00 72,500.00 91,200.00 ❑� Yes ❑ No
�f rro, �Mat is his I her ezact share of interes:? If rnmed with someone oNer Nan spouse, indicate wifh whom
11 name on remrd is di9ereN than that of appliwnt, intliwta bebv.c Is Ne properry in question: MnualtyAssessed
�❑ Real Property ❑ MnuallyAssessed
Mobile Home (IC 6-1.7-7)
Name of mortgagee or mnVaa se0er
Evansville Federal Credit Union
Address of rtwrtgagee or contrad seAer (number andsVeet rity, Y.afe. and ZIP code)
6209 Vogel Road, Evansville. IN 47715
Name of assi9nee or oiher anmer or hdder ol mortgage
Address of assignee (numher antl sveet. city, state. and ZIP wEe)
es appiicant own ompe .ry in any other If yes. �Mat munry? NTat Ta�dng Distnct? Has Ws detluRim been requested on property
�nryinlndana? � forcurtentyeaR
❑ Yes �❑ No �❑ Yes ❑ No
COUNTY AUDITOR
Detlucfion approve� in Ne amoun; of
zo_ 2o zo zo_ zo_ zo_ zo_
SigraNre oi CounryAUdkor Coun.y Date (month, day, year)
I/ We certify under the penalty ot perjury that the above and foregoing infortna6on is true and wrrect and Nat the applicant is a resident of Indiana and
owner! conVact buyer of lhe aforemennoned property on date applicalion is filed.
Si9rat e(ownels f ame) Date (monfh. day, year)
2/14/2012
P II r ftlent aEtlress o/ applicant (number antl s•veet, crty, stafe, arM ZIP code)
497 N. State Road 65. Princeton, IN 47670
Person auUronzed by duty executed Paxer of Attomey or by IC 67.1-12-0.7 Data (mcnth, Uay, year)
Address of au•,honzed person (number and street, city. state, and ZIP codej