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HomeMy WebLinkAboutMortgage_Eck (3) 4s.nke. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year o'. �j= � FOR DEDUCTION FROM ASSESSED VALUATION Gibson ,�p 2020 : ` �` State Form 43709(R14/1-20) 17 I�\?/� � �eis Prescribed by Department of Local Government Finance RECEIVED File Mark INSTRUCTIONS: To be filed in person or by mail. lus3c-1( C MAY 1 6 2020 For filed with: Filing Date: Form 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 property is located on or before January 5 of the calendar year in which the property taxes are first due and payable. County Recorder See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Michael J. Eck and Tricia A. Eck Taxing District Key number/legal description Recordn�mber Page number Johnson 26-22-12-300-002.742-024/Pt W SW 12-4-11 1.61 Ac 22 (C)).�c�JJ i X6Q Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applica the sole assessment date,current year assessment date,current year date of application legal or e 'able owner? $0.00 $665,000.00 es ❑ 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 Pro•erty 0 Annually Assessed , F T t Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller �pL Heritage Federal Credit Union Address of mortgagee or contract seller(number and street,city,state,and ZIP code) MAY 2 6 202U 5388 Old State Road 66, Newburgh, IN 47630 Name of assignee or other owner r holder of mortgage Address of assignee(number an street,city,state,and ZIP code) GIBSON COUNTY AUDITOR Does applicant own property i any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction other county El Yes No on property for El Yes El No in Indiana? current year? 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 Signature of County Auditor (erra County Dat nth,day,year) 1 "C)b Gibson V I I We certify under penalty of perjury that the a e and foregoing information is true and correct and that the applicant is a re ident bf Indiana and owner/contract bu r of the afore entioned property on date app' tion is filed. Sig ture.(o tt, Isla) ) Dat (month,day,year) a_ c....(______--- Full resident address of applic t number and street,city,state,and ZIP co 11556 S. 150 W., 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) The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.