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HomeMy WebLinkAboutMortgage_Murray i-i a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coijjy'i„l�; tfffl i�,� '7. FOR DEDUCTION FROM ASSESSED VALUATION • � State Form 43709(RIO/11-08) Gibson Haubstadt Prescribed by Department of local Government Finance A G 1 3 2013 INSTRUCTIONS: File Mark - To be filed in person or by mail with the County Auditor of the county where the property is located. 1'•n`"'y``Ji^.Ir�C'� Filing Dates: 1) Real Property:Must file during the year for which the deduction is sought. 2) Mobile/Manufactured Homes not assessed as Real Property:Must file during the twelve(12)GtIBSaGN3Gl UN,T31!AUD the deduction is sought. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Cindi E.Murray Taring District Key number/legal description Record number Page number Haubstadt 26-19-31-301-000.064-009 Lots 43 and 44 Original Plan Town of Ol 13 -43,2a Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole March 1,current year March 1,cunent year date of application legal or equitable owner? 114,800.00 © 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 ©Real Property p 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) P.O. Box 651 Evansville, IN 47704 Name of assignee or other owner or holder of mortgage Address of assignee(number and street city,state,and ZIP code) Does applicant awn property in any other If yes,what county? What Taxing District? Has this deduction been requested on property county in Indiana? for current year? ❑ Yes No ❑ Yes ❑ No COUNTY AUDITOR Deduction approved in the amount ot: 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 I contract buyer of the aforementioned property on date application is filed. 5.. } /.rs tuttrlay- �f Date(mp.dy.year2 Full resident/address of app(ica (number and st -=t,city,state.and ZIP code) O�j 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)