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STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi. Year
FOR DEDUCTION FROM ASSESSED VALUATION Fit�• Stale Form 43709(R13/10-15) Princeton 2018
Prescribed by Department of Local Government Finance a.
_ File Mark
INSTRUCTIONS: tCT 24 ( Form filed with:
To be filed in person or by mail. 018
Filing Dates: 1)Real Property:Must be completed and dated in the calendar year for which th eduction is sought. ❑ County Auditor
Must be filed or postmarked with the County Auditor or County Re �
E£eer o • he he 0 County Recorder
property is located on or before January 5 of the immediately succe
2)Mobile/Manufactured Homes not assessed as Real Property:Must file with theh or of the
county where the property is located during the twelve(12)months before March 31 of eac Dtf/rbR
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Stephen W. Hightshoe , April D. Hightshoe
Taxing District 'Key number/legal description Record number ' Page number
Princeton 26-12-06-401-000.083-028 T D/ ' - % ct o 7
Acspssed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the a plicant the sole
assessment date,current year assessment date,current year date of application leg r equitable owner?
154,200.00 138,400.00 Yes 0 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 t property in question:Annually Assessed
Real Property 0 Annually Accessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal
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 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 Me 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 o perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner I ntract buyer of the of mentioned property on date application is filed.
Si.'ture(. ters full name) ./) c I r-�CYr •lSz- iDate(month,day.year?
tt
Fur resi -nt address of applicant( ber and street,city,site,and ZIP code) 11
1704 Brentwood Drive, Princeton, IN, 47670
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.