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HomeMy WebLinkAboutMortgage_Parker (2) ,•S,�0 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS FOR DEDUCTION FROM ASSESSED VALUATION County Township Year VeIState Form 43709(R14/1-20) ,a,. Prescribed by Department of Local Government Finance File Mark INSTRUCTIONS: To be filed in person or by maiL Form filed with: Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. ❑ County Auditor Must be fled 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) Logan & Bryanne Parker Taxing District Key number/legal description Record number Page number White River 26-02=58-017-003.149-018 eQo 1 19 21-1 Assessed value of real property 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? $480,000 VIYes ❑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 IZI Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Evansville Teachers Federal Credit Union F I E D Address of mortgagee or contract seller(number and street,city,state,and ZIP code) Name of assignee or other owner or holder of mortgage J U L 2 2020 Address of assignee(number and street,city,state,and ZIP code) • Does applicant own property in any If yes,what county? What Taxing District? He legieftibter0 1 rii4eit �fc state amount of deduction other county on roe for in Indiana? El ®No current ®Yes ❑No A person is not entitled to this deduction unless the person has a balance on the persons 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 Signs re of County Auditor County Date(month,day,year) A.X4_ Cam`t� ?rl `1 a- o• mo I/We certify under the penalty of perjury that e a and foregoing information is true and correct and that the applicant is a resident of Indiana and- owner/contract buyer of the aforementionedA property on date application is filed. i Signatt 6 er's h n i,^J7; 7zo Fu nt address of applicant(number and street,city,state,and ZIP code) 870 E St Rd 56, Hazleton, IN 47640 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 S10,000. RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Name of applicant Name of mortgagee or contract seller Logan & Bryanne Parker Evansville Teachers Federal Credit Union Date filed(month,day,year) Amount of indebtedness Taxing District I ® D. 0 a,Q $480,000.00 White River Key number/legal description 26-02-58-017-003.149-018 Sign hire of County Auditor/Coun (•ecorder County Date(month,day,year) .k1.�•: '►' �'i ��•. Gibson - _ - �O gAy 21 O20