HomeMy WebLinkAboutMortgage_Alexander (2) j STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township I Year
FOR DEDUCTION FROM ASSESSED VALUATION State Form 13709(R1116-09)
Prescribed by Department of Local Government Finance
File lark
INSTRUCTIONS:
To be tiled in person or by mail. Form file sit t 4 1
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be Ned 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. .1 ou . r ,,.
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the �..tASI'M1Pr
county where the property is located during the twelve(12)months before March 31 of each year the GIBSON COUNTY A I OR
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see resbictions on reverse side)
JAMES H ALEXANDER JR AND JOANN ALEXANDER
Taxing District Key number/legal description Record number Page number
PRINCETON 26-12-07-102-000.310-028/ L.3-- 5')q.2_
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,current year date of application legal or equitable owner?
103,600 91,575 17 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
O Real Properly ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
OLD NATIONAL BANK
Address of mortgagee or contract seller(number and street.city,state,and ZIP code)
1 MAIN ST EVANSVILLE IN 47708
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 If yes.what county? 1 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 of:
20 20 20 20 20 20 20
Signature of County Auditor I 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 dale application is filed.
.gnat e'•' er's full name) / Date(monm.day,year)
i 41141r/.,.i_ �L/.- / 09/30/2013
01W-nt address of applica (n mber and sire ,city slate.and Z -c••
10 OAK ST PRINCETON IN 47670
Person authorized by duty 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 slate.and ZIP code)