HomeMy WebLinkAboutMortgage_Naas (5) t, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
��.,!I��_ FOR DEDUCTION FROM ASSESSED VALUATION \ .
'.), „F t State Fonn 43709(R13/10-15) G I i ,-\a n 20 1�
I. ✓ Prescribed by Departrnent of Local Government Finance J
File Mark
INSTRUCTIONS:
To be(led 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 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(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)
NAAS, STEPHEN M AND NAAS, LORA M.
Taxi g District Key number l legal description Recqs.Q number Page number
JOHNSON 26-18-34-400-002)4192-124 619 a'S ace
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract Indebtedness unpaid as of Is the applicant the sole
esessmern date,current year assessment date,current year date of application legal or equitable owner?
f) 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
a Real Property 0 Anualy Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
EVANSVILLE TEACHERS FEDERALCREDIT UNION FILE 1,.
Address of mortgagee or contract seller(number and street city,state,and ZIP code)
4401 THEATER DR., EVANSVILLE, IN 47715
Name of assignee or other owner or holder of mortgage J U N 13 Z019
Address of assignee(number and street,city,state,and ZIP code)
I el
il it
Does applicant own property In rry If yes,what county? What Taxing District? Has � �� •�IC Yes'starel
other amount of dentition
county �tp41f ear Yes •No
in Indiana? ❑ G
Yes No
A person is not entitled to 15 deduction unless the person has a balance on the person's mortgage or contract Indebtedness that is recorded/n 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_ I 20 ry,,2�0 /� ( 20� (� \`\`,2-0� r— 20 yyy ��^20
Signature of County ko 1 /� ). ' I k 1 u \ �11 tiJfl
/��1`\)' /JV Datepn daY.I I We certify under the natty of perury that the above end fore s Ord and correct and that the applicant i;laNr)e dent of Indiana and
owner I contract buyer of the aforementioned property on ate application is jded.
Signature(owners full name) Date(monm,day.year)
0k\a ii , }- 06/05/2019
Full resident address of appli nt tuber end street,city,state,and ZIP cod
2802 W. SOYBEAN LN., FORT BRANCH, IN 47648 (Date(month,day,year)Person authorized by duty executed Power of Attorney or by IC 6-1.1-12-0.7
Address of authorized person (number and street,city,state.end ZIP code)
The penalties for oeriury can include Imprisonment up to two and a half years and a fine not to exceed$10,000.