HomeMy WebLinkAboutMortgage_Marshall (5) i F`9. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESSPt[IJ1 ,]I )
Year
,t •� :>% FOR DEDUCTION FROM ASSESSED VALUATION
0.w _±^ �1S State Form 43709(R13110-15) ,
sr✓ Prescribed by Departnent of Local Government Finance
File Mark
INSTRUCTIONS: APR 2 F2 _I rI
To be filed in person or by mall. fried 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 prope is • Cou Auditor
• 17,
located on or before January 5 of the immediately succeeding calendar year. I • -'r11n%1 County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor;of ! r .
where the property is located during the twelve(12)months before March 31 of each year the .dfGVr" .P.- . T • - • 6 -
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
MARSHALL, BRANDON S. AND MARSHALL, CRYSTAL L.
Taxing District Key number/legal desaipdon Ri �e! Pagnumber
UNION 26-19-22-200-000.944-025 6
Assessed value of real property as of Mortgage/Coriaa indebtedness unpaid as of Mortgage/Contract Indebtedness unpaid as of Is the applicant the sole
assessment date,anent year aaw.,.,ment date,current year date of application legal or equitable owner?
$87,000.00 a 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 the property In question:Annually A+vxsed
E Real Property ❑ Annuaby Assessed
Mobde 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,dty,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 properly for
in Indiana? Dyes 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 20 20 20_ 20
Signature of Court ' ditor . ^ I Court' 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 I contract buyer of the afore entioned property on date application is file .
re(owner's lul,l,n,ppme) Date(month,day,year)
n r's,hap (j7 �� y ."j 04/12/2019
W resident address of applicant(nun rand tares, stets,antiZIP code)
7522 S 300 E., FORT BRANCH, IN 47648
Person authorized by duly executed Power of Attorney or by IC 5-1.i-12-0.7 Data(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.