HomeMy WebLinkAboutMortgage_Fuhs (2) .0E1 • STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
`' `"l_ FOR DEDUCTION FROM ASSESSED VALUATION Johnson
'Ib State Form 43709(R13/10-15) Gibson Township 2020
e`'+ " .? Prescribed by Department of Local Government Finance RECE VEOMO
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File Mark
INSTRUCTIONS: t. t.t 0(\oil. JUN 15 7020 Form filed with:
To be filed in person or by mail.
Filing Dates:1)Real Property: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 County Recorder
property is located on or before January 5 of the immediately succeeding calendar year.
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)
Brian Christopher Fuhs ,Ashley Michelle Fuhs
Taxing District Key number/legal description Record number Pae umber
Johnson Township 26-22-12-300-002.497-024 2.)020
-_4 sg
Assessed value of real properly as 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 legal or equitable owner?
$323,200.00 320,846.00 Nes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate wi hom
If name on record is different than that of applicant,indicate below: I property in question:Annually Assessed
eal Property ❑Annually Assessed
IL Mobile Home(IC 6 1.1 7)
Name of mortgagee or contract seller
Evansville Teachers Federal F vg
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 5 2�2�
4401 Theater Drive, Evansville, IN 47715 JUN 1.
Name of assignee or other owner or holder of mortgage •
Address of assignee(number and street,city,state,and ZIP code) .Y AUDITOR
0BsON.. COU .
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 o current year? ❑Yes ❑No
A person is not entitled tc(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 A Vir 1Alie‘ n County k • Date(month,day,year)
I,We certify under'e penalty of perjury tha the above and foregoing information is ru and correct and that the applican is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Sia� owner' full
0 or k f n l l javo06h40I20 day,year)
AA* %Mt Ykka
LI)
Full resident address of applicant(number and street,city,state,and ZIP code)
11880 S Honeysuckle Ln, 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. 44t322-W