HomeMy WebLinkAboutMortgage_Zehner��.^.�o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
-a_,. � FOR DEDUCTION FROM ASSESSED VALUATION
�'• State Fortn a3709 (R17 / 6-09)
��� � PresrlibeE Cy Departmem ot Local Gmemmen� Finance
INSTRUCTIONS:
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To be filed in person or by mail. C��•
Filing Dates: 1) Real Property: Mus( be wmple(ed and dated in !he calendar year for which (he deduction is sought.
Must be lled wi(h fhe County Auditor or County Recorder of !he counry whera the pmperty is located I �ry Audimr
on or before January 5 o! the immediafely succeeding calendar year. GIBSON COUI�T�' �����er
2) Mobile / Manufactu2d Homes not assassed as Real Properry.� Must file with fhe County Auditor o/ fhe �
counry whe2 the property is located dunng fhe fweNe (12) months 6etore March 37 07 each year the
deduction is sought.
See reverse sitle for addi(ional ins(ructlons and qualifiwfions.
npd��m (owrrer w cnnfraa euyer � see resnictions on reverse si0e)
DANIEL P. AKIN AND ASHLEY M. ZEHNER
iadng Distria Key number/ leqal desuipibn Record number Page num.ber
FORT BRANCH 2G79-18-301-000.425-026 - � �g� 1
�Assesse0 raLe d real property as al Mwtgage / Convaa indebtedness unpaid as W Mortgage / Con•�recc indebtedness unpaiE as of Is ihe appGfant Ne sde
Alafch 1, curtenlyear March 1. cunent year data of appGcatlon legal or equiable owner9
110,000 87,200 �❑ Yes ❑ No
If no. whal is ltis l her ezact share o/ interest? If owned wi;h sameane oNer Ihan spouu, indicate wiN whom
If name m record is di°erent than that of applicant, intliwte bebw: � Is Na D�CertY �� 9ues�ion: MnuaOy AsusseE
BETH ANN KRUSE ❑� Real Properry ❑ MnuauyAssessed
Mobile Home QC 6-1.1-7)
Name of mortgagee or mnVact seller .
HERITAGE FEDERAL CREDIT UNION �
Address of mortgagee or mnVact se0er (number antl sfreef, crty, slafe, eM Z/P cotle)
5388 OLD STATE RD 66 NEWBURGH IN 47630
Name of assignee or o:her owner or holder of mongaga
Address of assignee (number antl sfreet, city, sfate, antl Z/P coda)
Does applicam am propeny in any oNer If yes. wha� wunry? What Taxing DistriU7 Has Nis tleduGOn been requesteE on property
wun mindiana? forcurzent eaR
ry ❑ Yes ❑ No Y ❑ Yes ❑ No
COUNN AUDITOR
Ded�ction approvetl in �he amount of:
20 20 20 20 20 20 20
SynaWre at CounryAuditor Caunry Date (month. day, year)
I I We certify under Ihe penalry ot perjury Nat Ne above and foregoing infortnation is true and wrtecl and that Ihe applicani is a resident of Indiana and
owner / conVact buyer of the aforementioned pmperty on date applicaGOn is filed.
Signature (ownars tWl name) (�, �^ Date (monN. dag yea�
M u�e�t. -!J'J`M.1.�7— '` O6/10/2011
Fu0 resiEent a tl oi ap m(numberand straef, u1y, stare, aiM ZlPootle)
306 E JOH ST FT BRANCH IN 47608
Person auNOrizetl Ey Culy eaecutetl Poxer ol Attomey or Dy IC 61.142-07 Date (monN, day, year)
Address of autlnr¢eE person (number arM street. ury, state. aM ZIP wde)