HomeMy WebLinkAboutMortgage_Vaughn (2) /� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
ire?, FOR DEDUCTION FROM ASSESSED VALUATION
Pros Prescribed by Depar ent Gibson Id S E 1
\�� �° Prescribed by Department of Local Government Finance ,
INSTRUCTIONS: e,
To be filed in person or by mail. nt,Fo F a,{�tp
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought. Jufv tJ CU Is
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is Dr County Auditor
located on or before January 5 of the immediately succeeding calendar year. ❑ u rder
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)months before March 31 of each year the deduction is sough.
See reverse side for additional instructions and qualifications. G I BSON COUNTY AUDITOR
Applicant(owner or contract buyer-see restrictions on reverse side)
Rick A. Vaughnand Tammi L. Vaughn
Taxing Johnson Key -23-I legal description Recce qu iher Pa�.tiumher
Johnson 26-23-16-100-001.974-024 (^lJ�/�� l`-K 0.(u/ �
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appkkant the sole
Mardi 1.anent year March 1,current year date of application legal or equitable owner?
188,000.00 p 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
The Commerce Bank
Address of mortgagee or contact seller(number and street,city,state,and ZIP code)
20 NW 4th St, Evansville, IN 47708
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 ny If yes.what county? What Taxing District? Has this deduction been requested If yes,state amount of ceduction
other on property for
in Indiana? Yes No current year? ❑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/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 af mentioned pr p j{y pi date applicatio is filed.
Signature(owner's lull name) r(/ 4 U Date(month,day,year)
Fut resident address of applicant(number and street, tate,and ZIP e)
12373 S 200 E, Haubstadt, IN 47639
Person authorized by duty 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 510,000.