HomeMy WebLinkAboutMortgage_Lewis (14)�.� ^��v STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
a'� �''. FOR DEDUCTION FROM ASSESSED VALUATION
~� State Form 43709 R71 / 6-09 51 2012
'; . ,. . j� � �
�`�_/.-' Presaibed by Department of Local Government Finance Flle MBfk
i.�ei.
. RUCTIONS:
To be fil/ed in person or by mail.
Filing Dates: '1) Real Property: Must be �mpleted and dated in the calendar year for which the deduc6on is soughl.
Must be filed wilh the County Audifor or County Recorder o! the county where the property is located
on or before January 5 0( fhe immediately succeeding ralendar year.
2) Mobile /Manufactu2d Homes not assessed as Real Properfy.' Must (le with the CountyAuditor of the
county where the property is bcated dunng the hvelve (72) months belore March 37 o(each year lhe
deduction is sought.
nt (owner o� connacf buyer- see resMctions on reverse side)
R. Lewis
District Key number / legal description 26-19-18-302-000.837-026 / Property
��o=��� Address
603 E John Street Fort Branch, Indiana 47648
ssessed value of real property as of
�arch 1,currentyear
no, what is his / her exaIX share of in
name on rewrd is diHereni than that
19-18-302-000.837-026
Mortgage / ConVaU Indebtetlness unpaid as
March 7, wrtent year
� ot mortgagee or contraa sener
isville Teachers Federal Credit Union
�ss of mortgagee or conlract seller n m r
i Theaire Drive, Evansville, IN 47715
� of assignee or other owner or hoider of mor
�ss of assignee (number and street, ciry, stan
applicant own property in any oiher /
v in Intliana?
appliwtion
someone omer man spouse,
Lew��S j
Dt'H11'�1" �i�.�.`�1.�.........
��,-�� .io: ...... 51.(� 1......
Fortn file with:
County Auditor
� County Recorder
����
s unpaid as of Is t
leg
ndi W te wiN whom
�� G�
applicant ihe sole
or equitable owneR
l�es ❑ No
Property ❑ Annually Assessed
Mobile Home (IC 6-1.
: deduction been requestetl on property
;ntyear?
� ❑ Yes �1 No � , t�l Yes ❑ No �