HomeMy WebLinkAboutMortgage_Seiler�,��4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
1�,� � FOR DEDUCTION FROM ASSESSED VALUATION
%j J` State Form 43709 (R71 I 6-09) 2�� 2
'-�'O' Presaibed by Department of Lowl Govemment Finance Fil2 fk
�ais
INSTRUCTIONS:
To 6e filled in person or by mail.
Fili/g Dates: 1) Real Pmperty: Must be oompleted and daled in fhe calendar year tor which the deduc6on is sought.
Must be filed with fhe CountyAuditor or County RecoNer o/ the county where lhe property is localed
on or before January 5 of the immediately succeeding calendar yea�.
2) Mobi/e /Manu/actured Homes not assessed as Real Property.� Must �le with the County Auditor ol the
oounty where the property is located dunng the hvelve (12) months before March 31 ot each year the
deduction is sought.
See 2verse side !or additional instructions and uali(cations.
Appiicant (owner or crontract buyer- see restnctions on reverse side)
Joshua S. Seiler and Laura C. Seiler
� ! 1 �� � ... _��
Assessetl value oi real property as
March 1, cuvent year
It no, what is his I her exact share of
name on
Key number / legal descriplion 26-19-31-400-000.761-009 / Property
Address
706 East Haub Street Haubstadt, Indiana 47639
PIN
26-19- 31-400.000.761-009
oi mortgagee or conVaci seller
sville Federal Credit Union
:s of mortgagee or conirac[ seller m r
Weston Road, Evansville, IN 47712
of assignee or other owner or holder of mo
Uoes applicant own property m any
counry in Indiana?
curtenlvear
a�o�o
ciry, state, and ZIP code)
`�O , .
counry? C`AYa _.
N
C � ❑ ounty Auditor
C nry Recorder
GIBSON COUNTY AUDITOR
as ot mongage i convaa maeoteone
date of application
med with someone oNer ihan spouse,
Is the property i
�Rea�p
l �a" � � �p �d�
�l
:ecord number Page number
ao�a ��ag
. unpaid as of Is Ne applicant ihe sole
legal or equitable ownen
Yes ❑ No
�di W te wi�h whom
question: Annualy Assessed
*•"O Annually Assessed
,�(�...
Has this deduc6on been requested on
for wvent yeaR
❑ Yes