HomeMy WebLinkAboutMortgage_Snyder (4)��„���na STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
,� '. � FOR DEDUCTION FROM ASSESSED VALUATION
%� �I� State Porm 43709 (R71 I 6-09) 51 2012
':�� Presaibed by Department of Local Government Finance �������
�us
INSTRUCTIONS:
To be filled in person or by mail. Form filed with:
Filirg Dates: 1) Real Property: Musl be completed and dated in the calendar year lor which the deductlon is soughf. �9
Must be Tled with the County Auditor or County Recorder ollha county where the property is located N� 5p 2� �rrounty Auditor
on or be/o2 January 5 0! the immediately succeeding calendar year. C ounty Recorder
2J Mobile /Manufacfured Homes nof assessed as Real Property: Must �le with lhe CounryAuditor ol the
county where the property is located dunng the nvelve (12) monfhs before March 31 of each year the
^ deduction is sought. GIBSON COUNTY AUDITOR
Ryan Snyderand Karrie Snyder
Taxing Dislncl
l `"— /
Assessed value of real property as ol
March 1, curteni year
If no, wha� is his / her exact share of ir
1( name on rewrd is diRereni than that
on reverse
Key number / legal descnption 26-23-11-200-002.025-024 / Property
11069 S Windy Hollow Court Haubstadt, Indiana 47639
PIN
26-23-11-200-002.025-024
rU 1, wrtent year
16,800.00
of applicant, indiwte below:
Name of mortgagee or ConVact seller
Evansville Federal Credit Union
Address of mortgagee or contract seller (number and str
6209 Vogel Road, Evansville, IN 47715
Name of assignee or oNer owner or holder of mortgage
�numoer ano s�reer, ary, sra�e.
Does applicant own properry in any other
wunry in Indiana?
�eiYes
,.
Deductlon approved in Ihe amount of:
20 _ 20 _
Signawre ot County Auditor
I I We certiry vnder penalty of perju
owner I contr�c( buyer of the afore�
Full resitlent atltlresypt apF
11069 S Windy Hollow
❑ No
kFi
of application
someone
'ZIP �y�ef
l 1 Q
— Dra�ver N0�4`�...�!.,�,J,
yes,
Card NO . .....................
20 _ � 20 _ � 20
�' / �
indebtedness unpaid as ot Is the appiicant ihe sole
legal or equitable owneR
�Yes ❑ No
an spouse, indicate with whom
� propertyin queslion: Annualty Assessed
2eal Property ❑ Annualty Assessed
Mobile Home (IC 6-1.1-71
s tms aeaucui
curtent yeaR
20
on property
Yes ❑ No
20
that the above and foregoing information is true and corred and that the applicant is a resident of Indiana and
mtioned property on date application is filed.
IN 47639
mev or bv IC 6-1.1-
person (num6er antl stree4 ciry, sfate, antl
code)