HomeMy WebLinkAboutMortgage_Hudson .0,---., STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
fi,�k: FOR DEDUCTION FROM ASSESSED VALUATION
"--/ .,,,i/ State Form 43709(R13/10-15)
S :?s?€ Y
,016 Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS:
To be filed 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)
Julie Ann Hudson
Taxing District Key number/legal description Record number Page number
Barton 26-20-02-202-000.141-001 ,2 0 oz n S /..3
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?
$181,550.00 E Yes ❑ 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
Evansville Teachers Federal Credit Union Pit
_ .41, -,
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville ><N_a_v _ ____ _ F6-0 s t
Name of assignee or other owner or holder of mortga S'
Address of assignee(number and street,city,state,a I ► 31�cinfri � 020
Does applicant own property in any If yes,what coiq 'DIV c aen requested lrytkst4. amount of deduction
other county El
�t
in Indiana? Yes No � t'es ❑No p-
A person is not entitled to this deduction unless 9O 01D - 50 'act indebtedness that is recorded in the county
recorder's office(including any home equity fine t is the basis for the deduction.
Deduction approved in the amount of:
20 20 20 20 20 20 20
Sig a ure of County Auditor County Date(month,day,year)
I/We certify under the penalty of perju that 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.
Signature(oer'sfulkname)j) A
�� Date(month,day,year)
\jUL( I�VVV� L _ 01/31/2020
Full resiaddress of applicant(number and street,city,state,and ZIP code)
10263E 450 S, Oakland City, IN 47660
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 penury can include imprisonment up to two and a half years and a fine not to exceed$10,000.