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Home My WebLink AboutMortgage_Munier !sue STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year G..„: �? FOR DEDUCTION FROM ASSESSED VALUATION '-1 State Form 43709(R13 1 10-15) c--- Prescrmbed by Department of Local Goverment Finance T INSTRUCTIONS: �� gg To be filed in person or by mail. F �d with: Filing Dates: 1) Real Properly Must be completed and dated in the calendar year for which the deduction is sought APR 2 •! fl��,U�,I f Must be filed or postmarked with the County Auditor or County Recorder of the county where the properly is LJ County Auditor located on or before January 5 of the immediately succeeding calendar year. ■ . Recorder 2) Mobile/Manufactured Homes not assessed as Real Properly:Must file with the County Auditor of the 41, • r. G! where the properly is located during the twelve(12)months before March 31 of each �dndtr 4 A. 4�" -`• See reverse side for additional instructions and qualifications. year VIBSON C•UNTY AUDITOR App$nn owner or comraa buyer-see restrictions on reverse side) / i 4 T v',. / Key number I legal description Record nu Pag umber if g t,- # . 026 - /8-dy - ao `l - o00. 899 _ 0d_ c, 1/ Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appgca sole assessment dabs,surest year assessment date,current year date of application .. ., legal or equitable owner? 5(0 cl 4 0 ❑ yes ❑ No If no,what is his I her exact share of interest? If owned with someone other than spouse,indicate with whom tf name on record is different than that of applicant indicate belay. Is the property in question:Annually Assessed ❑Real Property ❑ Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or Canna sener r — /h� 7-F Cu 1^ Address of mortgagee or contract seller(number and sheet,city state,and ZIP code) �`V _ \ \-S`` , ki.._Nr,r\ v,\ice Name of assignee or other owner or holder of mortgage � EV,� t % � ^ �sVt, e Address of assignee(number and street,city state,and ZIP code) "e1 eis_c\�-Lt 5 \TQ v\ other applicant own property in any If yes,what county? What Taxing District? o r° f ,, ` in Indiana? ❑Yes ❑No c `� O1 l A person is not entitled to this deduction unless the person has a balance on the person's. my recorder's office(including any home equity line of credit that is recorded in the county rec )j p \l `\ — COUNTY AUDITOR Deduction approved in the amount of 20 20 20 20 _ Signature of County Auditor County . 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 application is filed. \ Signs owrLnjtars Ml name Date(month,day,year) V Full entaddressoQlp��et- l7Y state,and ��l 1h� 11 Qyyi /� Person authorized by duly executed Power of Attorney or by IC 51.1-12-0.7 Date(month,day,year) • Address of authorized person (number and street city,slate,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. • a n om; FOR DEDUCT ON FROM ASS SSED VALUATION INDEBTEDNESS County Township! Year \S•'� State Form 43709(R12/644) ��''''''111''{{L g �\ I) Prescribed by Department of Local Government Finance 17 J INSTRUCTIONS: , 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. JAN l] Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is AN C aunty Auditor located on or before January 5 of the immediately succeeding calendar year. ❑ corder 2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the coun C un�e where the property is located during the twelve(12)months before March 31 of each year the deduction is s See reverse side for additional instructions and qualifications. G I RSON COUNTY AUDITOR Applicant(owner or contract buyer-see restrictions on reverse side) Munnier, Lindsey Taxing District Key number/legal description Record number Page number Ft. Branch 26-18-24-204-000.899-026/McCrary Enlg 110 Pt I1'l- i I i 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,anent year March 1,current year date of application legal or equitable-owner? 82,400 32,000 56,260 .as ❑ 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 N operty 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) 4405 Theater Dr., P.O. Box 5129 Evansville, IN 47716 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 If yes,what county? What Taxing District? Has this deduction been requested If yes.state amount of deduction other county 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 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. Sig7ture((��Q''''yn g's 4&m nn/aine) 9'�q��' Dt(month,day.year) Full resident address of app ni(number` street city,state,and ZIP code) /0-/q- Lo �' 7n 1 5- nfirvn Sf. 1RY-- Rrztrrxh )►U 1110LR 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 510,000.