HomeMy WebLinkAboutMortgage_McFarland <-',,,. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
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e �4 ; FOR DEDUCTION FROM ASSESSED VALUATION
d 1--' State Form 43709(R13/10-15) Gibson Owensville 2019
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• ;e e� Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: Form filed with:
To be filed in person or by mail.
Filing Dates: 1)Real Property:Must be completed and dated in the calendar year for which the deduction is sought. County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the County Recorder
property is located on or before January 5 of the immediately succeeding calendar year.
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)
Esmael Mark Justus McFarland ,Tonya Jean Riley
Taxing District Key number/legal description Record number age ber
Owensville 26-17-01-404-000.586-022 2i3 l `
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the pplicant the sole
assessment date,current year assessment date,current year date of application leg or equitable owner?
$106,400.00 127,594.00 l '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 t property in question:Annually Assessed
'Real Property 0 Annually Assessed
1 Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract sellerFILL,,,1_,
Evansville Teachers Federal
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 NOV 1 2 2019
Name of assignee or other owner or holder of mortgage
Address of assignee(number and s reet,city,state,and ZIP code)
GIBSON COUNTY i:-.jEATOR
Does applicant own property in ny If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for
in Indiana? Ill Yes No current year? ❑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 20 20 20 20 20 20
Signature of C n Auditor County - Date( onth, year)
mid 1bs-OOn 1( t2 iq
I,We certi under the penalty of perjury that the above and foregoing information is tr and correct and that the applica t is a esident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(ow Vs full name) ecf,
Date(month,day,year)
/Kr/4 s--54,5 .- lG fi tp 11/06/19
Full resid nt address of applicant(number and street,city,state,and ZI code)
304 E Maple Street, Owensville, IN, 47665
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. 43302