HomeMy WebLinkAboutMortgage_Thacker,.t n no STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
4'�-��" FOR DEDUCTION FROM ASSESSED VALUATION
'�-}�' 5 2012
3` � State Form 43709 (R71 / 6-09)
�� � Prescribed by Department of Local Govemment Finance ile
yie
INSTRUCTIONS: -
To be (lled in person or by mail. N � Fqtm fled with:
Filing Dates: i) Real Property: Musl 6e completed and dafed in the ralendar year lor which the deduction is sought. V'�❑ 20
Must be �led with the County Audito� or County Recorcle� 01 the county where the propeRy is located ��,ounty Auditor
on or be(ore January 5 0! the immediately succeeding calendar year. C� � County Recorder
2J Mobile /Manu(actured Homes not assessed as Real Property: Must file with lhe County Auditor o!,t/�e
See reverse side torfaddil'ronal �slrucho s andatua fications �eWe (tt) months 6efore March 37 01 each year thi�BSpN �DUNTy q�01
Ao�licant (owner or wntrecf buyer- see resMctions on ieverse side) �
Karan A.Thacker
Key number/ legal descripiion 26-19-31-400-000.763-009 / Property
,� /�� /�� I704 East Haub Street Haubstadl, Indiana 47639
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PIN
26-19-3 7 -400-000.763-009
Assessed value of real property as
March 7, wvenl year
no.
name on
rvame ot mongagee or convaa sener
Evansville Federal Credit Union
AAdress of mortgagee or con[ract selh
i Vogel Ro�
� ot assignee
:ss ot assigni
applicant ow
y in Indiana?
ctlon approvE
20
�d, Evansville, IN 47715
or other owner or holder o( n
�e (number and street, ciry, 5
property in any other
❑ Yes �
in Ne amount of:
2� _
as
curtentyear
of apPliw6on
someone
Ifyes, �{NI/�!/ //�/ /y
� e�o-,� 1�4Y / ... . �/�.G�.0 �
No �t'A11'�1' ��...��. .....
�
C3I'(1 �i� . .....................
�� / i ,
I indebtedness unpaid as oi Is Ne appliwnt Ne sole
legal or equitable ov+neR
[�Yes ❑ No
nan spouse, indiwte with whom
�e Droperty in Ques[ion: Annualy Assessed
Real Property ❑ Annually Assessed
Mobile Home (IC 6-1.1-7)
;tnrs deducuc
:urtent yea(?
20
year)
ested on properry
Yes ❑ No
20 _
I/ We certify under penalty of perjury that the above and foregoing information is irue and corred and that the applicant is a resident of Indiana and
owner / contrad buyer of ihe aforementioned property on date application is filed.
imie�ownci>,unnc� �
M � A ,(��c.
esident address of applicant (number and street, ciry, stafe, a
East Haub Street, Haubstadt, IN 47639
person (num6er and street,
/