HomeMy WebLinkAboutMortgage_Maye j"-�o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
:♦ .,: 4 FOR DEDUCTION FROM ASSESSED VALUATION
• ��� SWtB Fotm 33709 (R71 / 6-09)
� Preunbed by Depanmem of Local Govemmem Finance
�NSTRUCTIONS: � �
To 6e filed in person or by mail. MAp o��tn:
Filing Da(es: 7J Real Property: Musl be complefetl and date0 in the ca/endar year (or which fhe deducfion is soughL n
Must be filed wifh the CountyAudifor or County Recorder o! fhe munty whera Me pioperty is located County Auditor
on or before January 5 o7(he immediatety succeeding calendar year. C.�. ounry Recorder
2/ Mobile /Manulacfured Homes not assessed as Real Property: Must file with fhe CountyAuditor olthe
rnunry where fhe property is located dunng fhe fweNe (12) months 6etore March 31 of each year fhe
deduction is sougbt GIBSON COUNTY AUD TOR
See reverse side tor additional instrucLons and quali�cations.
Appliwnt (owner w mnbact Duyer - see resUrc.Tions an reverse siJe)
Stanley J. May and Lisa A. May
Tadng Distria Key number / legal desuiDtpn Ra^cortl number Page number
Union Township 2Cr7&79-400-002.070-025/LOt 1 in Hidden Lake Estates Sub. o�,� ( r 351�
Pssessed value Nreal prope .ry as ot Mortgage / Contract indebtedness unpaid as ol Mortgage / Can•,raG inde0tedness unpaiE as of Is Ne applicant Ne sde
Mart3� 1, wrtent year March 1, wrtant year tla[e of applifation legal or equitaWe owneY/
5243,000.00 ❑O Yes ❑ No
It m, �Mat is his / her exaU share of interest? If owned wiN someone other fhan spouu, inCicate wiN whom
If name on record is EiHerenl ihan Nat of apptirant, intlicate below: Is the pmperty in question: Mnualy Assessed
� ❑� Real Property ❑ MnualtyASSessed
Mobile Home QC 6-1.1-7)
Name of mortgagee a conUad seller
United Fidelity Bank '
ACEress of mwtgagee or conVact seller (numbera�M straet, ciry, sfale, antl ZlPwCe)
78 NW Fourth Streei, Evansville, IN 47708
Name of assignee or oNer owner or holtler of mortgage
A4dreu of assignee (number antl sfraef, cdy, stafa, antl ZIP catle)
s applicant ovm pmperry in any oNer If yes, wtiai couny.+ What Taaing DisVict7 Has Nis Oeduction Deen requeste0 on property
coun in IMUna? for cunem eaR
�Y Y
. ❑ Yes ❑O No ❑ Yes ❑ No
COUNN AUDITOR
Deductian approved in Ihe artwunl of:
20 _ 20 20 _ 20 _ 20 _ 20 20 _
SynaNre of CounryAUtlitor Counry Date (monfh. day, yea�
� I I We certify under the penalry of perjury that the above and foregoing informa6on is We and cortect and that the appliwnt is a resident of Indiana and
owner / wnVact buyer of lhe atorementioned property on date applicatlon is fded.
Signature ( e(s fWl name) Date (my� , da , �
',� C. s
FW reSiCent addreu of applirant (number a� s et. ciry, sfate, arM ZIP code)
223 E 800 S, Ft. Branch, IN 47648
Person au�honzed by duy executeE Power ol Attomey or by IC 61.7-12-0] Data (monfh. day, year)
Atltlress ot auNOraetl person (numberaMSneef. ciry, state, antl ZlPcatle)