HomeMy WebLinkAboutMortgage_Pfohl�,,� ^�*•4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun T hi e
��� ° FOR DEDUCTION FROM ASSESSED VALUATION
�;i. _. � 51 2012
i'-. .
�� State Form 43709 (R71 I 6-09)
'�'I' P 'b d b D artment of Local Government Finance F k
�. rescri e y ep
IN�CTIONS:
To be �lled in person or by mail.
Filing Dates: 7) Real Property: Must be completed and dated in the calendar year for which the deduction is soughf.
Must be filed with the County Auditor or Counry Reaorder ol the county where lhe propeRy is located
on or befo/e January 5 of the immediate/y succeeding calendar year.
2) Mobile /Manufactured Homes not assessed as Real Property: Must �le with lhe CounfyAuditor o/ the
county where the property is located dunng the hvelve (72) months 6elore March 37 0! each year the
dedutlion is wught.
See reverse side !or additional instructions and auali(cations.
(owner or confract Ovyer - see
I. Pfohl and Jennifer M. Pfohl
�
�,ed value of real property as
1, current year
no, what is his / Iler exaG
name on rewrd is different than
Name of mortgagee or
on reverse
number / leeal descrip6on 26-17-02-400-004.856-021 / Ptoperty
5258 S 775 County Road W Owensville, Indiana 47665
PIN
26-17-02-400-004.856-02 7
Credit Services of Mid-America, FLCA
s of mortgagee or wnt2ct seller (number and
Evansville, IN 47725
or other owner or holder ot mortgage
street
�. / ConVact Indebtedness unpaid as of Morigage / GonVai
curtent year dale of applicaGOn
17.35
someone
than spouse,
C.'�.
Form filed with:
I BS.QL f:0�(ountyAABtlitorR
OCounty Recorder
:ecore number
�0/�
� unpaid as of
��
the applicant the sole
3al or eQUitable owner?
GT�Yes ❑ No
perty in question: Mnualty Assessed
Property ❑ Annually Assessed
Does applicant own property in any other If yes, what counry? I What Taxing District? IHas this deduction been requested on Properry I
counry in Indiana? (or wrrenl yeaf.�
. ❑ Yes Q� No Q�Yes ❑ No