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Home My WebLink AboutMortgage_Tenbarge (2)r x, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year . ,�I; FOR DEDUCTION FROM ASSESSED VALUATION 1 State Form 43709(R13/10-15) �- ' Presorted by Deparbi lent of Local Government Finance INSTRUCTIONS: - , File Mark To be filed in person or by mail. Fonn filed 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 properly is 0 County Auditor located on or be kite January 5 of the immediately 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. +a•.�•.District tuber/ desaiption �! fiecord number number ��SSSI,YYY,��1^f�^VC+`fr'�1� '4`6 — o_ o —300 —0 0 A s3 2 -O21 zcn t g nl Assessed rIe oflcal p as Mortgage!Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the " nt the sole ac<oec-nen t date,rrmpst y assessment date,current year date of appl' n cc bt legal or nae owner? qq ,g Yes 0 No If no,what is his I her exact share of interest? If owned with someone than spo �•,indicate with whom If name on record is different than that of applicant indicate belay. Nle:teal property in question:Annually Assessed Property 0 Annually Assessed • Mobile Home(IC 6-1.1-7) Name of mortgagee or contract selleritfA I Vp Address of mortgagee or contract seller(number and street, • te,and ZIP ' L1 Nana of assignee or other owner or holder of mortgage �iJ I f il \- -- AUG 292018 Address of assignee(number and street,city,state,and ZIP code CD�..0 I.�- Nt • et EA.\Z0.r,AA, A- \ .. }1,2"r lr' Does couny applicant own property in any If yes,what county? 1e-.�.�'JO�J`�E ��-v`-' I ies(atei2 errlwan GlEAVVbn other aunty in Indiana? ❑Yes ❑No aoC? -CA11z a- l— 0 A person is not entitled to this deduction unless Me person, eZ OO dness that is recorded in the county recorder's office(including any home equity fine of credit ti 3 j 04 I 1 O � s for the deduction. UUUN I T AUUI IUK 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. -va��, XSig e(9444 QA1••y4�name) Dare ay /10 Full resident address of applicant(number and city,state,and ZIP code) X 5a.a..3 S. Soo w , DtJFasiILLE , S.J tivir y7(pfAC 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 per)ury can include imprisonment up to two and a half years and a fine not to exceed$10,000. 0i a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year d� �� FOR DEDUCTION FROM ASSESSED VALUATION .!b y�. 2018 State Form 43709(R13/10-15) ' /' Prescribed by Department of Local Government Finance - File Marl( yo ILFli INSTRUCTIONS: To be filled in person or by mail. - ed 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 FEB 0 property is located on or before January 5 of the immediately succeeding calendar year. ' `u 1 2118 County Auditor 2)Mobile/Manufactured Homes not assessed as Real Property: Must file with the County Auditor of the ❑ County Recorder county where the property is located during the twelve(12)months before March 31 of each year tip. deduction is sought. II •- .jnffit See reverse side for additional instructions and qualifications. GIBSON COUNTY AUDITOR Applicant(owner or contract buyer-see restrictions on reverse side) Gavin N.Tenbarge and Elizabeth A.Tenbarge Taxing District Key number/legal description 26-18-05-300-005.533-021 /5223 S 500 W, Record nm�r Page pumber Owensville, Indiana 47665 poi �_ /-�7 I-Laa 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? 5352,718.00 O 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 0 Real Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Heritage Federal Credit Union Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 5388 Old State Highway 66, Newburgh, IN 47629 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 0 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 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. Sign ure(owners full eagle) � Date(rponth,day,y7 r)_ Full resident address of applicant(number and s t,city, state,and ZIP code) / Oq�rte_/ (U,I 5223 S 500 W, Owensville, IN 47665 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 Iwo and a half years and a fine not to exceed$10,000. -7,—.,w w