HomeMy WebLinkAboutMortgage_Kell (3) w7:n,>P�. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
ti FOR DEDUCTION FROM ASSESSED VALUATION
Y,_. `I f; State Form 43709(R12/6-14) RECEIVED Gibson Johnson 2021
N" a
,eie Prescribed by Department of Local ernment Finance
_
INSTRUCTIONS: JUN 1 1 2020 File Mark
To be filed in person or by mail. �1CA l ' _. 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)
Rachel S. Kell and James J. Budde
Taxing District Key number/legal description Record number Page number
024 soh 26-23-16-400-001.660-024/Ridge Manor Estates 1 Lot 4 D-9.Gibson County o0 c 0 0 0 0a 6a
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
March 1,current year March 1,current year date of applicationq legal or equitable owner?
D V 1,62 a 5 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
✓❑ Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller k q
Evansville Teachers Federal Credit UnionILE . c
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Dr, Evansville, IN 47715 JUN 11 20z0
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) `}06.24, 13b(i
GIBSON 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 , i.
in Indiana? XYes ❑No current year? 11 Yes 10 3 )
A person is not entitled_ to this deduction unlessson 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 0 20 20 20 20 20
no-i ---iif\
D,.,e,
Signature of County Audito County ` `(� Date( nth,day,I/We certify under the penalty of perjury that the a e and foregoing information is ru 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(ow ss n Date(month,day,year)
c—� U----/ 5-9--Q —40
Full resident address of applicant n id street,city,state,and ZIP code)
2424 East Warrenton Road, 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.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant a e of mort•agee or contract seller
sakjg District I
Date filed onth,day,yea�j _ � Amount oindebtedness��� t ��
(0 s 11. 2-�[[[J���
Key number/legal description JUN 112020 2 2_ '
9 o— 3- (6 Ay c0- . & 0 —o LI r W
Signature of Coun dit /County Recorderrry NA
County \ a e(m th,day,year)
.352,0
C\ 1- lin ks'Nlf,',..1-) i r'',1-L '4'74.1nri.b.‘ . \
GIBSON • NTY AUDITOR