HomeMy WebLinkAboutMortgage_Odpm n'r�A STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
y,4__ `= FOR DEDUCTION FROM ASSESSED VALUATION 1
or
State Form 43709(R10/11-08) Gibs Ii 1 Jphor�
'';i„, Prescribed by Department of Local Government Finance
INSTRUCTIONS: APRFilit@14
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 tile during the year for which the deduction is sought.
2) Mobile/Manufactured Homes not assessed as Real Property:Must rile during the twelve(12)months b ach year
the deduction is sought. GIBSON COUNTY AUDITOR
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
John T.Odom and Sheila S.Odom
Taxing District Key number/legal description Record number Page number
Johnson 26-18-36-300-002.177-024/Lot 21 in Hunter's Crossing Sub Sec 2 + •4411/1 /588
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?
S155,200.00 El 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
El 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 If yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year? ❑ No
❑ Yes No ❑ Yes
COUNTY AUDROR
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.
Signet (owners full ame) Date( h ay,yea
wn_ 1� o iS A/
Fu resident address of applicant(number and street,city,state,and ZIP code)
10468 S. Phesant Run Haubstadt, IN 47639
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) .