HomeMy WebLinkAboutMortgage_Higdon �` t STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
i FOR DEDUCTION FROM ASSESSED VALUATION
a=�� y�L' State Form 43709(R11/6-09) /� 51 2013
\\ s_. Prescribed by Department of Local Government Finance Oil 1 TEE
II�UCTIONS: J 11 �L 111dLL....JJJ A��1JJ
To oe filled in person or by mail. FERT31113
Filing Dates: 1)Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be filed with the County Auditor or County Recorder of the county where the property is located ❑ County Auditor
on or before January 5 of the immediately succeeding calendar year. El• i „j • -ecorder
2)Mobile/Manufactured Homes not assessed as Real Property: Must file with the County Auditor of the ■ t q/ , W nnti,
county where the property is located during the twelve(12)months before March 31 of each year the GIBSON COU TY AUDITOR
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
David L. Higdon and Sarah D Higdon
Taxing Dist Key number/legal description /9665 Winyard Place, Owensville, Indiana Record number Pa n ber
47665 d4-)7-09 „Rai o5ivc? ea,„? / G /3_ ei
Assessed alue of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
March 1.current year March 1.current year date of application legal st equitable owner?
590,000.00 21 Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: Is to property in question: Annually Assessed
® Real Properly ❑Annually Assessed
• Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Federal Credit Union •
Address of mortgagee or contract seller(number and street.city,state.and ZIP code)
6209 Vogel Road, Evansville, IN 47715 •
Name of assignee or other owner or holder of mortgage
Ad r ss of assignee(number and street,city, state,and ZIP code)
Doer,applicant own properly in any other If yes,what county? What Taxing District? Has this deduction been requested on properly
county in Indiana? for current year?
❑ Yes No ❑ Yes I'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 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.
Signature(owner's full name) (month,day,year)
Full resident a dyes of applicant number and street,city,state,and ZIP code)
9665 Winyard Place,Owensville, IN 47665
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year)
Address of authorized person(number and street,city,state,and ZIP code)