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HomeMy WebLinkAboutMortgage_Garner •*••. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshia Year 47 v lad FOR DEDUCTION FROM ASSESSED VALUATION -- " '• 2014 1% State Form 43709(R71/6-09) s d'' Prescribed by Department of Local Government Finance ; ih; Ma , us • • INSTRUCTIONS: To be filled in person or by mail. f9�fi:TyierdluOn.14,with Filing Dates: 1)Real Property:Must be completed and dated in the calendar year for which the deduction is sought.Must be(led with the County Auditor or County Recorder of the county where the property is located ❑ oty Auditor on or before January 5 of the immediately succeeding calendar year. ❑,2)Mobile/Manufactured Homes not assessed as Real Property: Must file with the County Auditor of the ,, ,, g, - •rder county where the property is located during the twelve(12)months before March 31 of each year the GIBBON COUdeduction is sought. AUDITOR See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Jerry L. Garner Taxing District Key Key number/legal description 26-19-18-303-000.332-026/210 South Record number Page number U kf�)1J loil.S$11? Lincoln Street, Fort Branch, Indiana 47648 j 4— 1-/d9 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? $80,000.00 ©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 0 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 Theatre Drive, 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? ❑ Yes © No ❑ Yes ❑ No COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 20 20 20 Signatur f my 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. Sign t e cone full name) Date( th,day,year) ca-a1y Full r ident ddress applicant(number and street,city, state,and ZIP code) 210 Sou Lincoln Street, Fort Branch, IN 47648 Person authorized by duly executed Power of Attomey 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)