HomeMy WebLinkAboutMortgage_Eichmiller�^a� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
(a,.I. .= FOR DEDUCTION FROM ASSESSED VALUATION
•�+ StateFortn=3709(R11I6O9)
��"�' PresuiGed by Depamnent of Loral Gwemmen: Pinance
File Mark
,STRUC710N5:
To be /iled in person or by rnail.
Filinq Dales: 1) Real Property: Musf 6e compleled antl tlatetl in Ihe ca/entlar yearlor which fhe deducilon is sought.
Musf be filed wifh fhe CounlyAudiior or Counry RecoMe� 01 the coun7y where the property is located
on or 6elore January 5 o!(he immedia(ely succeeding calendar year.
2) Mo6ile / Manulactured Homes nof assessed as Real Property: Must file wifh fhe CountyAudifor o/ fhe
county where [he property is located dunng [he IweNe (72) months befora March 31 of each year fhe
deduction is sought.
See reverse side /or additional inshuctions and qualificafions.
Form IJea �.vi�h:
� CountyAutli;or
❑ Counry Recortler
Applicanl (awner w contracf buyer - see mstncfions on 2verse sitle)
Michael L. Eichmiller and Victoria L. Eichmiller
Taurg DisVict Key number / legal Eescnption R M numGer Page num�er
Ft.Branch 26-19-19-203-001.236-026 �i— 1p5�
Assewetl value ot real pmceny as of Mongage / Contract'vWeDtedness unpaiA as of MoM1gage I Contract irWebtetlness unpaid as ot Is Ihe appliqnt Ne sde
Marc� 1. anenl year March 1, currenl year Cate ol appliqtion legal or epuilade ovmer?
5143,100.00 5137,500.00 ❑� Yes ❑ No
If no. what is his I ner evact share ol interesi? It ownetl wit� someone oiher Nan spouse, indicate wiN whwn
If name on remrtl is CiHerent 1lian that ot applicant, intlicate Celo+c Is me pmperry in Question: MnualyAtseuee
❑� Real Property ❑ MnuallyASSessed
Mobile Home QC 6-1.1-7)
Nama of mortga9ee or contract selier
Heritage Federal Credit Union
AEdress of mortgagee or mnVact setler (num0er and streef, ary, stafe, arm ZIP crode)
5388 Old SR 66, Newburgh, IN 47630
Name of assignee or other owner or holder oi mortgage
AEdress of assignee (number antl slrea�. uty, s:ate. an0 ZIP cotle)
��es applicant ann property in any other I II yes, what coun;9? What Ta.ing Oistnc�? Nas tnis eeoucuon baen recues:e� on n�u;ar,y '
wnty in Indiana7 lo� currer.� yea�� I
❑ Yes ❑ No ❑ Y<=_ Q No _�