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HomeMy WebLinkAboutMortgage_Schmits (6) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year E-�� FOR DEDUCTION FROM ASSESSED VALUATION ' '° State Form 43709(R13110-15) --' Presorted by Department of Local Government Finance INSTRUCTIONS: File Mark To be filed in person or by mail. Form film 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 county where the property is ❑ County Auditor located on or be fare January 5 of the irmnediately succeeding calendar 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)months before March 31 of each year the deduction is sought See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see rearms on reverse side) 1 l`��o 3 L,Sc k-Sv � rah C SOckCA Taxing Dist[ict Key /legal description _ • Record number Page number Uk,\X0i -1a- 12-200-00 .Xs6-n2- Assessed value of real property as of Mortgage I Contract indebtedness unpaid as of Mortgage/Contract indebtedness on id as oj5Er:eTt s the applicant the sole assesvent date,current year assessment date,current year date of so� i�' S It no,what is his/her exact share of interest? If owned with rte other. itelia0e tt name on record is different than that of applicant,indicate below: Is lJ fip$tt dllee�ln:Annually Assessed ❑Real PropertCyU0 Ann - Assessed (IC 6-1.1-7) Name of mortgagee or contract seller , ' UT TCU. Iv Address of mortgagee or contract cater(number and sbeet city,state,and ZIP code) �t ' L.l I K Sr Name of assignee or other owner or holder of mortgage \\vv.;416,-)�`) �- \-.CL� S cd Address of assignee(number and street city,state,and ZIP code) \C 'O c r—-SN.Lt�-A o CCP.v- .11- c..) L,00 .U .) other t�nicant own property in any If yes,what county? What Taking District, \ �"� 1 tot deduction inlndiana? ❑yes ID No • `� j$ _ cols - 1S�j A person is not entitled to this deduction unless the person has a balance on the ,a,cwrued in the county recorder's office(including any home equity line of a-edit that is recorded in the county recorders 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 I contract buyer of the aforementioned property on date application is filed. re owners tuff name) Date(month,day,year) I �� X f�/ IDI If /��/ Full r Zde address of a number an0 street city,stare,and 51 a/ a by575 executed Sower FT . 61-IC 2-071k 41� 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$10,000. skiv4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year �_ FOR DEDUCTION FROM ASSESSED VALUATION 2018 �?�• State Form 43709(R13/10-15) -�._,j Prescribed by Department of Local Government Finance N �� File Mark n� ®g INSTRUCTIONS: To be filled 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 deAdefi nkisgo9QJ] ❑ Must be fled or postmarked with the County Auditor or County Recorder of the county where die property is located on or before January 5 of the immediately succeeding calendar ear. County Auditor 2)Mobile/Manufactured Homes not assessed as Real Property: Must tile with the C ntyAu 'or ❑ County Recorder county where the property is located during the twelve(12)months before March e deduction is sought. GIBSON COUNTY AUDITOR See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Timothy L. Schmits, Sr. and Deborah C. Stocker Taxing District Key number/legal description 26-19-12-200-001.856-025/5127 E 575 S, Record number Page number Fort Branch, Indiana 47648 ,o O a 6''� - I S S- Assessed value of real property as of Mortgage I 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? $90,400.00 ©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 II 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 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 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) 1/We certify under penalty of perjury that the a ove and foregoing information is true and correct and that the applicant is a resident of Indiana and ,owner/contract buyer of foe aforementioned pro erty on date application is filed. Signature(ow f/un�tje) go, i Date(month day,year) Full resident ad ss of applicant(number and street,city, state, nd ZIP code) 5127 E 575 S, Fort Branch, IN 47648 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$10,000.