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HomeMy WebLinkAboutMortgage_Edrington .,. *., STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year 4-,y, FOR DEDUCTION FROM ASSESSED VALUATION 5'' '",Y.. tt,a= State Form 43709(R12/6-14) Gibson Patoka 2021 L '•''``,a,s Prescribed by Department of Local Government Finance RECEIVED ED INSTRUCTIONS: GOItt C k _ MAY O I 7 2020 File Mark 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) Jeremy S. Edrington and Paige Edrington Taxing District Key number/legal description Record number Page number 027 26-12-15-100-001.271-027/PT NW 15 2 10 4.853 AC C-1, Gibson County r90 e-d, 0 0 , C1 l Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole 1 March 1,current year March 1,current year date of application legal or equitable owner? 71(LLi 9 Q0 0 El 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: I Is the property in question:Annually Assessed - I Pr•• .,—II-Annually-Assessed-— - --- 4 '►,obile Home(IC 6-1.1-7) Name of mortgagee or contract seller s I : r Evansville Teachers Federal Credit Union Address of mortgagee or contract seller(number and street,city,state,and ZIP code) MAY 07 2020 4401 Theater Dr, Evansville, IN 47715 Name of assignee or other owner or holder of mortgage . 4/2414figtt Address of assignee(number and street,city,state,and ZIP code) GIBS•N COUNTY AUDITOR Does applicant own property in any 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? ❑Yes No current year? ❑Yes ❑No A person is not entitled t 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 County Auditor �i-W\ (.01D`. County t Date( ak atL) I/We certify under the penalty of perjury that the above and foregoing information is ue and correct and that the applicant is a resident of Indiana and owner/contract buyer of the aforementioned property on date application is filed. -7-Sigriat caner 1 name) Date(month,day,year) I-nn Full id address p plican number and street,city,,state,and ZIP code) 48 East Top Hat Road, Princeton, IN 47670 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. RECEIPT FOR FILING STATEMENT OF MO e: :' C• • - DEBTEDNESS Name of ap licant N o't o ogee c +•n Iler ern �— Date filed(month,day y�ar) Am t of indebtedness T ' g istri c-1--VOW Zf0t goo MAY 07 .2020 � Key number/legal descripti n 2O2oI 1i g' �e'1216-I Goi - VI- �l,� ��p� Signature of County Auditor/CoLoty{.�Record Gl� r�✓[� Date(month,day,year) S' C 1 7 V1V VNAUDITOR S'-' 1 r.2 07/°