HomeMy WebLinkAboutMortgage_Schmitt (21) -="ka STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
cfre 7/ -�-- �); FOR DEDUCTION FROM ASSESSED VALUATION
31''.`' . State Form 43709(R13/10-15) Gibson Johnson 2019
''"ia4' Prescribed by Department of Local Government Finance
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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. 0 , County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the 0 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)
Logan T.Schmitt, Dakota R. Schmitt
Taxing District Key number/legal
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 eg r equitable owner?
$2900.00 111,3-61370 Yes 0 No
If no.what is his/her exact share of interest? If owned with so on other than Spouse,in 'rate with wh m
-1name on record is-different than that of applicant,,iridicate below: - I the propert in question:-Annually Assessed
Ral Prop rty 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller 'I V: ''
Evansville Teachers Federal IF'
IiI e
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 NOV 2019
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) 111 ----
)011211
i GIB ON COUNTY
Does applicant own operty in any If yes,what count ? What T ing District? Has this deduction been req sted If yes,state amount of deduction
other county �, on property for �,/
in Indiana? 4 Yes CI UCc t1,, f f nl C(� ent year? L� ❑No d DOD
A person is not entitled to this deduction unless the per has a ba ance on the person's mortgag ontract 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 Count Auditor County Date(month,day,year)
SX 5�,�-' CC61)( 11 - 25"'
--1 9 .
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.
Si nat re(owner's full name) Date(month,day,year)
.2�+ � ^" ' 114.4e4-
Id/4W, 11/21/19
Full reside address of applicant(number and street,city,state,and ZIP code)
709 W Aspen Drive, Haubstadt, IN, 47639
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)
Thin nonaltiec for neriury can innlnde imnri-cnnment un to two and a half vearc and a fine not to exceed S10.000. 43429