HomeMy WebLinkAboutMortgage_Frizzell ze STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
A FOR DEDUCTION FROM ASSESSED VALUATION
Stave Form 43709(R13/10.15)
•
,�„ Prescribed by Department of Local Government Finant -.
INSTRUCTIONS: •; File Mark
To be filed in person or by mail. Y-1 mo Form riled with:
Filing Dates: 1) Real Property:Must be completed and dated in the ��`l
Must be filed or postmarked with the County Audito- I fl 1Pe'P 1�10,• V 1 9 • s ❑ County Auditor
located on or before January 5 of the immediately: 4 11 do' ''••• ,.. ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Re 'of l 000 Ity
where the property is located during the twelve(12) Ca r i 1NO. O night.
See reverse side for additional instructions and qualifications. ......
Applicant(owner or contact buyer-see restrictions on reverse side) •••••"
ANNETTE FRIZZELL
Taxing District Key number/legal description I Record npm I Pagel rrohtr k
PRINCETON 26-12-07-103-002.328-028 •
-- i- " 1�-
Assessed value of real property as of Mortgage/Contract indebtedness unp ^ liwnt the sole
assessment date,current year assessment date,current year I 1 /ti ^ I I��� I YeseEi owner?
l/�/.[`/U /71 1(// I Yes ❑ No
It no,what is his/her exact share of interest? C
If name on record is different than that of applicant,indicate below: gq, 15 y Assessed
orn Assessed(IC
/ / v orrle(IC 6-1.1-7)
Name of mortgagee or contract seller �����lll Ill!
EVANSVILLE TEACHERS FEDERAL CREDIT UNTION
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) ....---) //
Name of assignee or other owner or holder of mortgage
I ��� C
Address of assignee(number and street,city,state,and ZIP code) �
Does applicant own property in any If yes,what county? What Taxing Disth I^c f//�/V 1'talk f deduction
other county 1 ! l
in Indiana? ❑Yes •No
A person is not entitled to this deduction unless the person has a balance on tit,, in the county
recorder's office(including any home equity fine of credit that is recorded in the_....,,,,.----, -,,.,.,,,,,.,,—,-.,. ..o.......• .,,<vv.,.
COUNTY AUDITOR
Deduction approved in the amount of:
20 - 20 20 20 20 20 - 20 _
Signal of County Auditor County Date(month,day,year)
GIBSON 05/02/2019
I/We certify under the penalty of perjury that the abo nd egoing 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.
Signature(owners full name) Date(month,day,year)
a 05/03/19
Full resident address of applicant(number and street,city,state,and ZIP code)
427 W STATE ST., 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.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
ANNETTE FRIZZELL EVANSVILLE TEACHERS FEDERAL CREDIT UNTION
Date fled(month,day,year) Amount of indebtedness Taxing District
5/2/19 115000 PRINCETON
Key number/legal description
26-12-07-103-002.328-028
Signature of County Auditor/County Recorder County Date(month,day,year)
1.-C. 9 --h Irya ) GIBSON 05/02/2019