HomeMy WebLinkAboutMortgage_McCandless (3) J FOR STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Countttty� I Township Year
DEDUCTION FROM ASSESSED VALUATION n ILT State Farm E3709(R10111-08) Gibson 1 lu , �Prescribed by Department of Local Government Finance
INSTRUCTIONS: MARef/k2O14
To be filed in person or by mail with the County Auditor of the county where the property is located. -
Filing Dates: 1) Real Property:Must Me during the year for which the deduction is sought.
2) Mobile/Manufactured Homes not assessed as Real Property:Must Me during the twelve(12)months befo larch 3 r
the deduction is sought
See reverse side for additional instructions and qualifications. GIBSON COUNTY AUDITOR
Applicant(owner or contract buyer-see restrictions on reverse side)
Adam A.McCandless an Celena D.McCandless
Taxing District Key number/legal desaiption Recs..rd number, Page numlmr
Columbia 26-13-22-200-000.785-006 Pt NE NE 22-2-9 0 11 (8
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 owner?
170,400.00 El Yes ❑ No
If no,what is his I her exact share of interest? If owned with someone other than spouse,indicate with whom
II name on record is different than that of applicant,indicate below: Is the property in question:Annually Assessed
El Real Property ❑Annually Accessed
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)
4405 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 If yes.what county? What Taxing District? Has this deduction been requested on property
count/in Indiana? for current year?
❑ Yes 14 No ❑ 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.
Signature(owner's full name) Date(month,day.year)
6Q. 73i 24) 01
Full resident address of applicant(number and street.city,sate,and ZIP code)
1519 S 950 E,Oakland City, IN 47660
Person authorized by duty executed Power of Attorney or by IC 6-L1-12-0.7 Date(month,day year)
Address of authorized person (number and street city,sate,and ZIP code)