HomeMy WebLinkAboutMortgage_Arthur .•ono STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
eV" FOR DEDUCTION FROM ASSESSED VALUATION
a• State Form 43709(Ri 1 /6-14) 2015
'i -•• Prescribed by Department of Local Government Finance File 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 dyrgtndl f- •-duction is sought.
Must be filed or postmarked with the County Auditor o ty ecord��I t 1 my where the ❑ County Auditor
property is located on or before January 5 of the im diate s at r•./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 located during the twelve(12)q gpthsbprfocepA,rch 31 of each year the
deduction is sought. J U L 1 C
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side) n
Steven M.Arthur rr -7.1)0[ ct�
Taxing District Key number/legal descriptitg i 4 441bi�(W-ttt 6115/226 West Record number Page number
Morton Street, Oakland City, Indiana 47660
aois- 3 (3)—
26-14-19-101-001170-007
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?
$79,540.00 0 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 leathers 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 O 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/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
caner/contract buyer of the aforementioned property on date application is filed.
Sr ure(or•nets full na Date(month, /ay,yea0
yi
dent /a7/rr/
Full r dent address of applicant(number and street,city,state,and ZIP code)
226 West Morton Street, Oakland City, IN 47660
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 hall years and a fine not to exceed 810,000.