HomeMy WebLinkAboutMortgage_Hall (2) •
t "n- STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township I Year
►__ = FOR DEDUCTION FROM ASSESSED VALUATION
•
\S•` State Form 43709(R11/6-09) Gibson Princeton 2014
\ 5/ Prescribed by Department of Local Government Finance '
File Mark
INSTRUCTIONS: aa .�
To be filed in person or by mail. gpl ��yT�dy
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deductio so .� ago,
Must be filed with the County Auditor or County Recorder of the county where the property is located FI •unty Auditor
on or before January 5 of the immediately succeeding calendar year. Ake - U County Recorder
2)Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor A ke 5 I I
county where the property is located 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) G I B S O N COUNTY AUDITOR
Jeanie Lea Hall
Taxing District Key number/legal description Record number Page n1f15E 1'Wee t
Princeton 26-12-07-304-001.611-028 • 201300003 89
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,current year March 1,current year date of application legal or equitable Amer?
70,300 76,850 0 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 the property in question:Annually Assessed
0 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,state,and ZIP code)
4401 Theater Dr. Evansville,IN 47715
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street.city,state,and ZIP code) '
Does applicant own property in any other It yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
❑ Yes 0 No ❑ Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
9ignatu ee of County
County Date(month,day,year)
1✓
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.
!'.nature(owners nom Date(month,day,year)
)a Ng , IP -7/3)&013
F.I resident address of applicant(number and street,city,state,and ZIP code)
21 S.Prince St. Princeton,IN 47670
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)