HomeMy WebLinkAboutMortgage_Sorgius�,.t yn4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
-,��;
�� FOR DEDUCTION FROM ASSESSED VALUATION
,._. ° 51
1i,� • State Form 43709 (R11 I 6-09)
�t�, Presuibed by Department of Local Govemment Finance
�ais
INSTRUCTIONS:
To be �lled in person or by mail.
Filirg Dates: 7) Real Property: Must be comple[ed and dated in lhe calendar year tor which fhe deduclion is soughf.
Must be fifed with the CountyAuditor or County Recorder oi the �unty where the property is locafed
on or before January 5 o7the immediately succeeding calendar year. �
2) Mobile /Manufactured Homes not assessed as Real Property Must (!e with the CountyAuditor of the
dedvction 1 souyh�PeRy is located dunng fhe hvelve (12) months before March 37 oteach year fheG�BSON
See reverse side for additional instructions and ualifications.
Applicant (ownerorcontrect buyer- see resfnctions on reverse sitle)
Jonathan D. Sorgius and Brena K. Sorgius
Taxing District Key number / legal descripGOn 26-19-31-303-001.889-009 / Property Re
Address
204 S Sth Ave. Haubstadt, Indiana 47639
��GUG�UC� PIN
26-1931-303-001.889-009
\ssessed value of real property as of Mortgage I Convact Indebt
darch 1, currentyear March 1, artentyear
5140,000.00
ot mortgagee or wnvact sener
>ville Federel Credit Union
�,s o( mortgagee or contract seller (numbe
Vogel Road, Evansville, IN 47715
of assignee or other owner or holder of rt
pplicani own property in any other
in Indiana?
❑ Yes � No
Deduction
zo _
iture of Counry
amount
►3��
yes,
20
20
as
AUUI I vn
le of application
someone other
spouse,
2012
Fortn filed v7Rh:�J
( � � Z�nty Auditor
i.m� County Rewrder
number
/���
�age number
�6�
unpaid as of Is lhe applicani the sole
legat� quitable owneR
A1Yes ❑ No
ihe property in quesuon: Annualty Assessea
� Real Property ❑ Annually Assessed
Mo6ile Home /IC 6-1.1
�
� -
� � ���o ��-.5 l� `�1
C�Y(� �'0. .
....................
20 _ � 20
on
20 .
I/ We certify under penalty of perjury that ihe above and foregoing infortnation is true and correct and ihat the applicant is a resident of Indiana and
owner I contract buyer of the aforementioned property on dale application is filed.
and streef, ciry, state,
S 5th Ave., Haubstadt, IN'47639
m authorized bv duN exewtetl Power of Attomey or
person