HomeMy WebLinkAboutMortgage_Christy (2)d,,..�o STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count I 7ownship � Year
,a�2 FOR DEDUCTION FROM ASSESSED VALUATION
� �' State Forn a3709 (RN / 6-09)
j Prescnbed by Department of �ocal Cwvernmenl Finance
File Mark
INSTRUCTIONS:
To be filed in person or by mail.
Filing Oafes: 7J Real Property: Musf 6e completed and dated in the calendar year (o� which (he deducfion is sought.
Must 6e filed wifh the Counry Audimr oi Counry RecoNer o7 fhe county where (he pmperty is locared
on or before January 5 0/ (he immediately succeeding calendar year.
2) Mobile /Manu7actured Homes nof assessed as Real Property: Must �le wifh the CountyAuditor ollhe
county where the property is bcated dunng fhe tweNe (12) months before March 31 of eacb year lhe
deducfion is sought.
Fortn fAeE with:
� °° e' r r
CCD t A 7019
See reverse side 7or addi(ional ins(ruc0ons and qualificafions. '"' i"°'''
AppGcani (owrrer w wnvaa buyer - see resfictbns on reverse side)
KELLY P. CHRISTY AND L�SA CHRISTY
TadngDistricl Keynumber/legaltlesrnplion R i .. �
PATOKA 26-72-15-200-003.683-027 � COU ' ITOF2
Pssesud value dreal pmperty as of Mortgage / ConVact indebtedness unpaid as of Mortgage / Con'uaU indebtedness unpaiE as of Is ihe applifant �he sde
Marrh 1, wrtentyear March 1, artant year tlate of applifation legal or equitaWe owneR
82,000 O Yes ❑ No
If no, what is Ns / �er ezaa share of interast? II wmed w�N wmeone oNer Nan spouu, indiwte wiN whom
If name on recorC is EiRerent Uan lhai of appticant, intliwta below. Is the pmperty in 9uestion: MnuaDy Assessed
❑� Real Properry ❑ MnualyASSessed
Mobde Home QC 61.1-7)
Name ol rtartgagee w wnVad saller
EVANSVILLE COMMERCE BANK
AEEress of morc9agee or mn4act seGer (number antl svael, ury. sta;e. aiM ZIP code)
20 NW FOURTH ST EVANSVILLE IN 47708 �
Name of assi9nee ar oNer owner or hdder of mortgage
AEEress of assignee (numberand streef, ciry, stafa, and ZlPCOde)
Does applicant rnm pmperty in any other If yes, what counq? NTat Taxing DisviG7 Has Nis deduaion been requestetl m propercy
counry in InOuna? for cunent year!
❑ Yes ❑ No ❑ Yes ❑ No
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