Loading...
HomeMy WebLinkAboutMortgage_Lawrence (2) • e � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County I Township I Year ;a .,_y } FOR DEDUCTION FROM ASSESSED VALUATION � State Form 43709(RIO/11-08) n on ! Prescribed by Department of Local Government Finance TILE •_1, INSTRUCTIONS: File Mark To be filed in person or by mail with the CountyAuditor of the county where the property is located. MAR 1 2013 Filing Dates: I) Real Property:Must file during the year for which the deduction is sought. 2) Mobile/Manufactured Homes not assessed as Real Properly:Must file during the twelve(12)months before March 31 of each year the deduction is sought. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) GIBBON COUNTY AUDITOR Jacqueline Lawrence Taxing District Key number/legal description Record number Page number Princeton 26-11-12-203-001.063-028/Pt of lots 141 and 142 in Business Men's dot 3 1 al p g Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole March 1,anent year March 1,current year date of application legal or equitable owner? 561,048.00 © Yes ❑ No If no,what is his/her exact share of interest? It owned with someone other than spouse,indicate with whom If name on record is different than that of applicant.indicate below: •Is the property in question:Annually Assessed ©Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Evansville Teachers Federal Credit Union Address of mortgagee or contract seller(number and street.city,sate,and ZIP code) 4401 Theater Drive Evansville, IN 47716 Name of assignee or other owner or holder of mortgage �r i Address of assignee(number and street.city,state.and ZIP code) f- -- Does applicant own property in any other If yes,what county? What Taxing District? Has thus deduction been requested on property court in Indiana? for current year? h ❑ Yes No y ❑ Yes No COUNTY AUDITOR , .. -_ -. Deduction approved in the amount of: 20_ 20 20 20 20_ 20_ 20 Signature of County Auditor County Date(month.day,year) I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and owner/contract buyer of the aforementioned property on date application is filed. ' in ture(owne/s full name) f // I Date(month,day,year) 03/05/2013 nt ir! VTsident ress of applicant(number and street,city,state,and ZIP code) N. th St. Princeton, IN 47670 Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 - I Date(month,day,year) Address of authorized person (number and street,city,state,and ZIP code)