HomeMy WebLinkAboutMortgage_Parrish (2) ,,*174 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
1.
FOR DEDUCTION FROM ASSESSED VALUATION
�fp. Gibson ��-t 2020
.S� State Form 43709(R14/1-20) RECEIVED
'er - Prescribed by Department of Local Government Finance
1jIle_ , JUN - 5 2020 File Mark
INSTRUCTIONS: To be filed in person or by mail. G j Form filed with:
Filing Date: .Form must be completed and dated in the calendar year for which the deduction is sought. L.1 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. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Daniel P. Parrish and Kelly L. Parrish
Taxing District Key number/legal description Record number Page nu ber
- 1/l61 /{/l,Q.>r 26-11-17-400-001.400-021 /PT SE SE 17 2 11 5.AC D-17 �20 2ts
Assessed value bYreal property 0 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 lega or quitable owner?
$0.00 $264,000.00 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
7 'ea]Property ❑Annually Assessed
FIL Mobile Home(IC 6 1.1 7)
Name of mortgagee or contract seller
Indiana Members Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
320 Eagle Crest Blvd., Suite E, Evansville, IN 47715 JUN 0 5. 020
Name of assignee or other owner or holder of mortgage -
Address of assignee(number and street,city,state,and ZIP code) 1
GIBSON COUNTY AUDITOR
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 El Yes ! NO on property for El Yes ❑ 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 1,11 20 20 20 20 20
Signature of County Auditor i� _�/1 J County Date n ay,year)
Gibson (}
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resi ent of Indiana and
owner/contract buyer of the aforementio d property on date application is filed.
Sig - . o• er s f e) � 05/11/2020Date(month, ay,year)
t •
=".esi.ent address of applicant(number and street,city,stat ,and ZIP code)
1390 S.Old SR 65, 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 nenalties fnr neriunr ran include imnrisnnment in)to two and a half years and a fine not to exceed. 10.000.