HomeMy WebLinkAboutMortgage_Vincent e� 4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi• Year
\I FOR DEDUCTION FROM ASSESSED VALUATION
k `� 51 2014
S,' State Form 43709(R71 /6-09)
e/, Prescribed by Department of Local Government Finance Ile Mark
INSTRUCTIONS:
To be filled in person or by mail. Form filed with
Filing Dates: 1)Real Property:Must be completed and dated in the calendar year for which the deduction is min. 4 2014
Must be filed with the County Auditor or County Recorder of the county where the property is locate ❑ County Auditor
on or before January 5 of the immediately succeeding calendar year. 1� : County Recorder
2)Mobile/Manufactured Homes not assessed as Real Property: Must file with the County Au Id t
county where the property is located during the twelve(12)months before March 31 f ach
deduction is sought. uIbSON COUNTY AUDITOR
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Cynthia G.Vincent
Taxing District Key number/legal description 26-19-19-101-000.294-026/608 S Lincoln Record number Page number
St. Fort Branch, Indiana 47648
Lot 15, Smith Enlargement, Gibson County, Indiana 14 !�/Cl6^ .
26-19-19-101-000.294-026 d
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?
$63,200.00 O 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
f] Real Property ❑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 —
6209 Vogel Road, Evansville, IN 47715
Name of assignee or other owner or holder of m D IIa 1YCI- NO...20/q••.. ..
Address of assignee(number and street,city, st
Card NO. 2 it 2 1
Does applicant own property in any other Has this deduction been requested on property
county in Indiana? for current year?
❑ Yes O t ❑ 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 penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner ntract buyer of the aforementioned property on date application is filed.
Sr owners ful ame) Date( nt ,da tea')
K �a�10 ly
Full residen a dress of applicant(number and street,city,state,and ZIP code)
608 S Li oln St., Fort Branch, IN 47648 .
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)