HomeMy WebLinkAboutMortgage_Nowark .na STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
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el .
- FOR DEDUCTION FROM ASSESSED VALUATION
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?1.n State Forth 43709(R13110-15) .
sir"= 9 Prescribed by Department of Local Government Finance
INSTRUCTIONS: File Mark
To be Bled in person or by malt. Form 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 property is ❑ County Auditor
located on or before 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(72)months before March 31 of each year the deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contrail buyer-see resMrpons on reverse side)
NOWARK, DARON D. AND NOWARD, EMILY J
Taxing District Key number I legal description R°°rth/iumber Page number
FT. BRANCH 26-18-13-402-000.602-026 :Lai? / (c}(t
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage I Contrail Indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date,current year date of application legal or equitable owner?
$39,425.00 O Yes 0 No
It no,what B 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 apoikant,Indicate below: is the property to question Annually Assessed
la Real Property 0 Annually Assessed .
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contact seller
EVANSVILLE TEACHERS FEDERAL CREDIT UNION
mortgagee
Address of or m ntract seller(number and saest olY•state,and ZIP code) -141 )
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)
APR267919
Does applicant own prope n any I byes,what county? What Taxing District? Has this . tad If yes,state amount of deduction
other conk r-t on p (hOR
M Indiana? !_I Yee ,.cU`�ne�nt(y1Ly id
A person is not entitled to this eduction unless the person has a balance on the personlassaxgaga of con&act indebtedness that is recorded in the county
recorder's office(including any home equity line of credit that Is recorded in the county recorders office)that is the basis for the deduction. .
COUNTY AUDITOR •
Deduction approved In the amount of:
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20 I 20 20 20 20_ 20_ 20
Sig((' of CouOhM�}�_ Courtly 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 appf cant is a resident of Indiana and
owner/ tract buyer of the afore tioned prope on date application is filed.
(o els fug ✓/ Date(month,day,year)
�/Y)?J�� n /(GWatc 04/24/2019
Full res ent address pll t(n tier and street,city, end ZIP code) V/ (./
108 W. JOHN ST., FORT BRANCH, I 48
Person authorized by duly executed Power of Attorney or by IC 5-1.1-12-0.7 I 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 510,000.