HomeMy WebLinkAboutMortgage_Halbig (9) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County I Township Year
t' FOR DEDUCTION FROM ASSESSED VALUATION �'f�—rI
\> 4 State Form 43709(R13/10-15) I l�ilbs��.t Johnson 2017
` Prescribed by Department of Local Government Finance NNNNNN I
INSTRUCTIONS: DEC 1 5 2016 File Mark
To be filed in person or by mail. Form Ned 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 coY: where e • •e r • IN County Auditor
•
located on or before January 5 of the immediately succeeding calendar year. 1,
V.* • ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must fete�ywu(( yy��J • -rl e coun
where the property is located during the twelve(12)months before March-21 • e J•y/2 '.0.u6dd1I kb1kjht.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see resaicbons on reverse side)
Greg A. and Lori L. Halbig
Taxing District Key number/legal description Record number Page number
Johnson 26-18-35-100-000.033-024 ao1 S a1�
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date,current year date of application legal or equitable owner?
180,500.00 135,000.00 D Yes ❑ No
If no,what is his I her exact share of interest? If owned with someone other than spouse.indicate with whom '
If name on record is different than that of appliant,indicate below: Is the property in question:Annually Accessed
GI 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 Theater 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 ny If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other aunty on property for
in Indiana? Dyes 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(monde,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 I contract buyer of the aforementioned property on date ap lication is filed.
Signature(owners full name) • '1 Date(month,day,year)
. .1G itiO r v2 -I �-IlP
Pull resident a ss or applian (number aad�tree&city,state,and ZIP code)
9819 S. Joy Lane, Haubstadt, IN 47639
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 sheet,oily,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.
f`� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
'f. . a: FOR DEDUCTION FROM ASSESSED VALUATION
. 1:^ State Fonn 43709(R13/10-15) '�--'
- 7 Presalbed by Department of Local Government Finance t�t FI p !� D
INSTRUCTIONS: Y1'
To be filed 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 p Il 9(I l
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is LLL111���Couhts•Auattor
located on or before January 5 of the immediately succeeding calendar year. ❑ County r eco •-r
2) Mobte/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county L • i
where the property is located during the twelve(12)months before Mardi 31 of each year the deduction is sought !r 9a►rr
Seem - '•e for additional instructions afifications. �i GIBSON COUNTY AUDITOR
.••••• t� erwoonvarl6vyyr-�re1erYe sFla� �C.Z
° , dn- o� � . s/tea-ova 05 aa5z nu U77
Sa-•value of real property as of Mortgage I Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
nt date,anent year assessment date,current year date of application legal or equitable owner?
A. ,SSA ❑ Yes ❑ No
If no.what is his I 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 property in question:Annually Assessed
Real Property 0 Mobile y Assessed
• / ` Mobile Home(IC 611-7)
Name of mortgagee or contract seller l/i y \ /
f �\J�/v C//(/
Address of mortgagee or contract seller(number and street city,state,and ZIP code)
Name of assignee or other owner or holder of mortgage
Address of assignee(number and sheet,city state,and ZIP code) , /
4...ced i
Does applicant own property in any If yes,what county? What T- i •District? Has this deduction been requested If yes,state amount of deduction
�iana? ❑Yes ❑No current year? ❑Yes 0 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 ,Ir - 3 �1 r— 20 20
s-( V
Signature of County Audi,or � Date(month,day,year)
•
. Drawer 1rNO. (-1'q _
I/We certify under the penalty of perjury that the above • '' 3 applicant is a resident of Indiana and
owner I contract buyer of - aforementioned property o
Signature • ' MI .-) ,(/��Jy , Card 1�'O. p� -- .)- 1 Date(month,day,year)
F r resident-•dress of a t rrmber-•• .. - city,stele,and ZIP code)
LOP t 1 -'
Person authorized by duty executed P f 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 S10,000. . . - -