HomeMy WebLinkAboutMortgage_Gries (2) ,.+Rynv STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION i ;1 ; l 2014
t ter f State Form 43709(R11/6-09) - :( _ :s.
� .ei• e', Prescribed by Department of Local Government Finance el ;®i
INSTRUCTIONS: JUL
To be filled in person or by mail. Fo •= '.with:
Filing Dates: 1)Real Properly:Must be completed nd dated in the calendar year for which the deduction is sought.
Must be tiled 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. GIRpc�.n�N trig"S County Recorder
2)Mobile/Manufactured Homes not assessed as Real Property: Must file with the County Auditor df'tttd COu
county where the property is located during the twelve(12)months before March 31 of each year the • g I TOR
deduction is sought. I
See reverse side for additional instructions and 4ualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Ryan Gries and Lauren Gries
Taxing District Key number/legal description 26-18-36-300-001.966-024/1340 West Record number Page number
w ,�, A / Chukar Hollow, Haubstadt, Indiana 47639
4, Lot 216, Hunters Crossing, Gibson County, Indiana 1 ' / b
6+
26-18-36-300-002.585-024 `li g o
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?
$150,500.00 ❑Yes ❑ No
If no,what is his I 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 ❑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 71P code)
6209 Vogel Road, Evansville, IN 47715 — - --
Name of assignee or other owner or holder of mortgage yn L �— J') E _'i
Address of assignee(number and street,city,state,and ZIP code) '4 r C. OD/ iStal
Does applicant own property in any other If yes,what c Drawer N Q...40 / deduction been
on requested q property
county in Indiana? :nt year?
❑ Yes ❑ No
Card NO. ❑ Yes ❑ No
...... �(q.
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/contract buyer of the aforementioned property on date application is filed.
Sigoureer is full name Date(month,day,year)
l" ;"-- ri-3 (Li
Fu res • t address of applicant(number and street,city,state,and ZIP code)
1340 W Chukar Hollow, 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)