HomeMy WebLinkAboutMortgage_Seib (2)� � STATEMENT OFMORTGAGE OR CONTRACTINDEBTEDNESS
eY�' �.
-� ,. ._ � FOR DEDUCTION FROM ASSESSED VALUATION
Scate Form 43709 (Rt 1! 6-09)
,�' �' P2saihed by Department of Loral Govemment Finance
INSTRUCTIONS:
Count � Township Year
Gibson Princeton 2013
File Mark
' I 1
To 6e filed in person or 6y mail. T ' e ""
Filing Dafes: 1J Real Property: Must be comple(ed and dafed in !he calendar year for which the tleduction is � ught. y
Mus[ 6e filed with the CountyAuditor or Counry Recorder of fAe counry where Ihe pmperty is ocateS'' _ un uditor
on or belore January 5 o/Ihe immediatety succeeding calendar yeac County Recorder
2) Mobile / Manufactured Homes nof assessed as Real Property: Musi file with the CounryAUdifor ol t�V
cnunty �vhere the pioperty is locafed dunng the NieNe (12J months before March 37 0� each year the
deduction is soughf.
See reverse side (or adddional instiuctions and quali�cations. C����� �—(r"�
Applicant (owner or conhac! 6uyer see iesMClions on reverse
Lerov R. Seib and Saundra K. Seib
Tating DisUict I
Gibson
Assessed value of mal property as of
Mard� 7. wrtent year
78,400.00
If �ro, what is his I her ezact share of in
If name on recwE ls di°erent ihan that
Name of mortgagee or mnvaU se0er
Banterre Bank
Key num5er I legal �escnption
26-12-18-201-001.968-028
Mortga9e / ConVact indebtedness unpaid as
March t, artentyear
11
Pddress of mwtgagee or conVaC, se0er (num6er and sveet. ury, state. antl l
133 Cross Pointe Blvd, Evansville, IN 47715
Name of assignee or o:her ovmer or hdder of rtmrt9age
Adtlress of assignee (numberantl sfreet, ary, sfafe. arM ZIP totle)
Dces appliwnt ovm property in any otner If yes, whai counry?
counryinlndiana? � � No Gibson
� Yes
GIBSON COUNTY
� 70,000.00
If ownetl with someone o;her Nan spouse,
as of I Is Ne applicanl lhe sole
legal or equitaWe ovmer?
Yes U No
Is ihe pmperty in questian: Mnualy Pssessed
I�] Real Property ❑ MnuaOyAssessed
Taun9 Distnctl I Has lhis de0uctbn Eeen requesteE on pmperty
forcurtenlyeaR � _ �
COUNTY Al1DITOR
D�tluction approved in the amount of:
20 20 20 _ 20 _ 20 _ 20 _ 20 _
SiS�aWre of CountyAud'aor Counry Date (monlh, tlay, yea� '
I I We certify under the penalty of perjury that the above and foregoing information is true and correct and thai the applicant is a resident of indiana and �
owner I conVaci buyer of ihe aforementioned property on date applica6on is filed.
Signat wnefs a Date (monN, tlay, year)
11I9I2012
FuOresi ntaddre apP���ant(numberends:reef.cdy,state,anUZlPcotle)
92 �S. Gibsan SVeel, Princeton, IN 47670
Person authwized by Euy ezecuted Power o(Ammey or by IC b1.142-0J Da:e (mrnN. day, year)
Address of authorized person (numberand street, city. state, antl ZIP code)