HomeMy WebLinkAboutMortgage_Goedde (5),^,-no STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
i__... � FOR DEDUCTION FROM ASSESSED VALUATION
� Sta;e Fotm 33709 (RN / 6-09)
—'� Prescnbed by Department of Local Govemmenl Finance
INSTRUCTIONS:
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To be filed in person or by mail. Fo deE ynt�:
Filing Dates: 7) Real Property: Must be completed and dafed in the calendar year for which fhe deduction is sought.
Must 6e filed with the County Audiror or County Recorder o/ tha county where the property is located(i�B QrJ p itoTrf1
on or belore January 5 0l fhe immediately succeeding calendar year. Counry� R�ec�o�deT" R
2) Mobile /Manufactured Homes not assessed as Real Property: Must fife witA t6e CountyAudiror o/ tAe
county whera the property is lowfed tlunng the nvelve (72) months 6efora March 37 oteach year fhe
deducfion is soug6t �
See reverse sitle for addi(ional instructions and qualifications.
ApvGcant (owne� w tonvact buyer - see resLiclions on reverse side)
Tom A. and Julie Goedde
Tadrg District Key number I legal tlesuiption Reco number Pag number
Haubstadt Township 26-1931-304-000.141-009 / Lot 402 8 403 East Park Addn. O �
Assessed vdue of real pmperty as of Mortya9e / Convact indebtetlness unpaitl as of Mortgage I CanVaG indebtedness unpaid as ol Is Ne appGwnt Uie sde
A1artl� 1, artent year March 1, wrtent year date of aDD��n legal w eqmtable ovmer?
558,000.00 ❑� Yes ❑ No
II no, what is his / her ezact s�are af interest? If awneC wit� someone other Itun spouse. indirate wiN whom
If name on remrE is Eiflereni than ihai of aOP��nt, indiwte bebw. Is Ne property in question: Mnualy Assessed
❑� Real Pmperty ❑ MnuallyAssessed
Mobile Home (IC 67.1-7)
Name of mortgagee w convacl se0er
Diamond Valley Federal Credit Union
Atltlress of mortgagee or mnVacl seAer (number arM sfreet cRy. state, antl ZIP cotle)
840 Diamond Avenue, Evansville, IN 47711
Name ol assignee or other owner or holder of rtwngage
AtlCress of assignee (number anC ifreet, aty, sfate. and ZIP code)
Does apptinnt awn property in any oNer If yes, what counry7 VJhat Tadng Distna? Has this deducUOn been requested on pmperty
coun m Ind'uria? for curtent eaY.�
ry ❑ Yes ❑� No Y ❑ Yes ❑ No
COUNTYAUDROR
Oeduction aDWweC in Ihe artwunt of:
20 20 _ 20 _ 20 20 _ 20 _ 20
SgnaNre of Cwnry Audiror Counry Data (rtronfh. day, yea�
I I We certify under Ne penalry of perjury ffiat the above and toregoing infortnaUOn is W e and cortecl and Nat [he applicant is a resident of Indiana and
owner / conVact buyer of the aforementioned property on date applicalion is filed.
Sgnatur ownNs lW name), � Date (mm �a�� �
p„� R .�e��i
Fu0 residem addreu of appliwnt (number and streel, ciry, stale, antl ZIP aode)
211 S. Third Ave., Haubsfadt, IN 47639
Person auUrortzed by duly executetl Power of Attomey w by IC G7.1-12-0.7 Date (rtronlh, day, yea�
AddreuofauNOf'sedperson (numberaMSbeet,ary,slate,aridZlPcnde)