HomeMy WebLinkAboutMortgage_Parmer STATEMENT OF MORTGAGE OR CONTRACT INDEBTED C Township Year
� S
t._ t FOR DEDUCTION FROM ASSESSED VALUATION ICJ,_tci_I 9
State Form 53709(R13/10-15) (`(�V P Q�( ICI oat)�„ Prescribed by Department of Local Government Finance
MAY 6 2019 File Mark
INSTRUCTIONS:
To be filed in person or by mail. Form fled with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduct& s soug
Must be filed or pnstmarked with the County Auditor or County Recorder of the county is 0 County Auditor
located on or before January 5 of the immediately succeeding calendar year. GIBSON Cfl Ntd.�TT��r l ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must Me with the County Au�o7 b7 Vre S.,[1{TO R
where the property is located during the twelve(12)months before March 31 of each year the deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Matthew R. Parmer and Amy M. Parmer
Ta •' Disci Key number/legal description R gumber Page ny-comber
f1�x our-. 6+-/- 26-22-01-102-001.055-024 afQ 9 J f3��
value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract Indebtedness unpaid as of Is the app nt are so a
nt date,current year assessment date,current yew date of application legal or equitable owner?
0 Yes 0 No
II no,what is his I 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:AnnuallyAssessed
❑ Real Property 0 AnnualyAssessed
Montle 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,end ZIP code)
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
Address of assignee(number end street.city,state,end ZIP code)
Does applicant own props in any If yes,what county? What Taxing District? HHrasproii�luction been requested If yes.state amount of deduction
other county W1 current year?or ❑Yes 0 No
In Indiana? ❑Yes
A person is not entitled to!hi 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 2,�0A. /'1'7/`/(11 20 20 20 20 20
icSignature of Col . A\fc\.`" V 1 Date(month,day,Year)
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/contract buyer of the aforementioned property on date application is filed. iM
Sire ehfaname) Dale( f
ayuyLeA
-,*"....----k.------------- a/7/.
Full resident addr oGapplic�nt(number and street,city,state,and
Person authorized by duly executed Power of Attorney or by IC 5-1.1-12-0.7 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 S10,000.