HomeMy WebLinkAboutMortgage_McGraw e,,„•44. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
ct,(1 : ' FOR DEDUCTION FROM ASSESSED VALUATION
; ix State Form 43709(R11 /6-14) 2015
Prescribed by Department of Local Government Finance it
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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 sought
Must be filed or postmarked with the County Auditor or County Recorder of the county where the j JN II Z&b`Lnty Auditor
properly is located on or before January 5 of the immediately succeeding calendar year. ❑ County Recorder
2)Mobile/Manufactured Homes not assessed as Real Property: Must file with the County Auditor of the
county where the property is boated during the twelve(12)months before March 31 of each year the
deduction is sought.
See reverse side for additional instructions and qualifications. nIBSON COUNTY AUDITOR
Applicant(owner or contract buyer-see restrictions on reverse side)
Derek M. McGraw and Beth N.McGraw
Taxing District Key number/legal description 26-12-06-204-001.386-028/ 1815 Record number Page number
Cottonwood Dr., Princeton, Indiana 47670 /}�
26-12-06-204-001.386-028 au 5 �/"1
26-12-06-204-001.884-028
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Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage I 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?
$236,550.00 ❑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
❑ 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 If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of
other county on property for deduction
in Indiana? ❑ Yes ❑ No current year? ❑ 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 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.
Sin (own lull me) A ,� ) ` , Date(month/day,ye
• 0 u „ Ivy l/O/L
F II sident address of applicant(number and street,city,stdte, and ZIP code)
1815 Cottonwood Dr., Princeton, IN 47670
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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000. .