HomeMy WebLinkAboutMortgage_Reed n•r. STATEMENT O,F MORTGAGE OR CONTRACT INDEBTEDNESS
�-,,—, .o County Township Year
"__ FOR DEDUCTION FROM ASSESSED VALUATION 5—1449
ei.d,= ` 2019
is .? State Form 43709(R13/10-15) nrW P 4x. g e oZ O
e__,V. Prescribed by Department of Local Government Finance File Mark
INSTRUCTIONS:
To be filled in person or by mail. 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 located on or before January 5 of the immediately succeeding calendar year. County Auditor
2)Mobile/Manufactured Homes not assessed as Real Property Must tile with the County Auditor of the 0 County Recorder
county where the property is located during the twelve(12)months before March 31 of each year the 1
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Richard D. Reed and Jane A. Reed
Taxing District ,Key number/legal description 26-20-28-100-000.871-001 /7934 E 900 S Record number Page number
414A1747°
Elberfeld, Indiana 47613n 26-20-28-100-000.871-001 act°, l--7-.�
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?
6301,500.00 0 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 Assessed
0 Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller FILE'
/g��', i
Evansville Teachers Federal Credit Union +�� I F
Address of mortgagee or contract seller(number and street,city, state, and ZIP code) MAY 3 2019
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage n.
a16SON17/17t1
Address of assignee(number and street,city, state,and ZIP code) COU
NTY AUDITOR
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? 0 Yes 0 No current year? 0 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 0 20 20_ 20 20 20_
Signature of ou Audit*. `1 County Date(month,day,year)
I I We ce u d r pens y o 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.
Sig ature(owner's full name) Date( onth,day,year)
°��2_�o2 -_ J � � ad �o/3//j9
Full resident address of applicant(number and street,city,state a ZIP code)
7934 E 900 S, Elberfeld, IN 47613
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.