HomeMy WebLinkAboutMortgage_Kempa� r:a: STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
-/ e..: _. FOR DEDUCTION FROM ASSESSED VALUATION
S' �� Sta:eFwm:3709(R71/6-09)
�"�• Prescn�ed by Depanmem oF Local Govemmem Finance
INSTRUCTIONS:
To 6e (led in person or by mail.
Filing Dates: 1J Real Property: Musf be compleled and dated in fhe calendar year for which the deduction is sought.
AAust be filed with [he County Auditoi or County Recorr/er o/ the counry where the pmperty is loca(ed
on or 6elore January 5 0/ the immediately succeeding calendar year.
2) Mobile / Manulacfu2d Homes no! assessed as Real Property Must file wi�h the CountyAudifor o( the
counry wheie the property is located dunng (he hvelve (12) monihs be(ore March 31 0l each year the
deduction is sought.
See reverse side /or addi(bnal insWC(ions and qualificaGons.
ADD���nt (owner or cont2cf buyer- see resMciians on reverse sitle)
Donald D. Kemp and Amy J. Kemp
Ya�.
�U6buMy Redit_ ar .
E ��tlpf
�/
2-17=01- 04-OT00.586-.�22'El2 Lot 19 Warrick's Addition �1 � � I_
.ry as ol Mortgage / Contract inEebtetlness unpaid as al Mortgage / CanVaU intlebteCness unpaW as of Is �he apd���� we �e
Ma¢� t, cunent year date o( apP���n legal or equitade anneR
50.00 $104,949.00 ❑� Yes ❑ No
share of interest? It owned wiili someone oNer Nan spouse, intliwte with whom
name on remrtl is diF,erent than that of appliwnt intlicate Celow.
Danny E. Durham and Heaiher R. Durham
Name of mongagee or conVacl selier
Kirkston Mortgage Lending, LLC
Addreu oi mortgagee or mntract seller (number and streef, ury, uare, and ZlPcotle)
501 Cross Pointe Blvd, Evansville, IN 47775
Name of assignee or oiher owner or holder ot morigage
Address ot assignee (namber antl sfreeL city, s�a:e. and ZIP code)
Is t�e property in Question: MnualtyASSesseE
� Real Property ❑ MnuallyASSessed
Mobile Home (IC 6
Does applicant own property in any o�her II yes, what coun,y? Wnal Tazmg Distncl"? Mas Nls aeOUCUOn been requestea on pmperty
oounry in Indiana? �or cunent yea�
❑ Yes � No ❑ Yes ❑ No