HomeMy WebLinkAboutMortgage_Russler (2) �S�4ti� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
�, ' w1A FOR DEDUCTION FROM ASSESSED VALUATION 2020
a' ;)+;;:4,..1.it State Form 43709(R13/10-15) "� Mark
N.` ;`ar Prescribed by Department of Local Government Finance
rei6
INSTRUCTIONS: MAY 1 4 n20
To be filled 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 sough
Must be filed or postmarked with the County Auditor or County Recorder of the county where the County Auditor
property is located on or before January 5 of the immediately succeeding calendar year. Coun Recorder
2)Mobile/Manufactured Homes not assessed as Real Property: Must file with the County ��it� fl4'sOUNTY AU�TOR
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)
Cale S. Russler and Katherine A. Russler
Taxi t ct Key number/legal description 26-11-31-300-004.486-021 /6271 W. Record number Page number
� � 0iii, Iheim Ave., Owensville, Indiana 47665 .Oa 0I
Assessed value of re•+ ••.perty as o Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is legahe l applicant
r pllictat the ee sole?
assessment date,current year assessment date,current year date of application
$235,900.00 ❑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 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? oHas n property deduction been requested If yes,
stiate amount of
other county
in Indiana? ❑ Yes 0 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
Signaturpo ountyA/+uditor Countyt _) L, A.-?A--bC)1 -,Ci'-1\. Date(month,day,year)
I/We certify under penalty of perjury that th ov foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned prop drty on date application is filed. te m t , ay,year)
S nature owns s full n e) Dab �LV 2V
j
l�tu:
Fu resid t address of applicant(number a d street,city,state, and ZIP code)
6271 W Stalheim Ave.,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)
rho nana/fies for neriury can include imprisonment up to two and a half years and a fine not to exceed$10,000.