HomeMy WebLinkAboutMortgage_Market (3) . .. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
e,_ a FOR DEDUCTION FROM ASSESSED VALUATION
6i Ii State Form 43709(R12/6-14) Gibson 2017
\ � Prescribed by Department of Local Government Finance
File i
INSTRUCTIONS:
To be filed in person or by mail. , ,•• reed with: =e•
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 property is ■ (st fWditor
located on or before January 5 of the immediately succeeding calendar year. ' ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Properly:Must file with the County Auditor of that&)p�v '� __
where the properly is located during the twelve(12)months before March 31 of each year the deduction is sdd�lr�r C.O •i
See reverse side for additional instructions and qualifications. UrV7i, '
Applicant(owner or contract buyer-see restrictions on reverse side) '9UOjToR
Taylor B Market
Taxing District Key number I legal description Record number Page number
Princeton 26-12-07-203-002.815-028 a s ; 153 7
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,anent year March 1,current year date of application legal or equitable owner?
75,300 69,700 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 Asxessed
Real Property ❑ AnnuallyAssessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller _ .—____-
Evansville Teachers Federal Credit Union �1-
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
mar` `Iec 1 tO 1-
4401 Theater Drive, Evansville, IN 47715 I1 �II1I 1f (�JI -
Nameofassigneeorotherownerorholderofmortgage \/1 /1,C..Y`�CS 11
Address of assignee(number and street,city,state,and ZIP code) l c��`� i. r lJy
Does applicant own property i any If yes,what county? What Taxing District? Ha: 1 Al 4 U9
other county on I
in Indiana? ❑Yes No curt..,.,rear/ U Yes ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is recorded in the county
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that is the basis for the deduction.
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 the 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.
Signature(owners full name) Date(month,day,year)
- .61) -N/211 IC
Full resident address of applicant(number and street,city,state,and ZIP code)
327 N Gibson St., 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 810,000.