HomeMy WebLinkAboutMortgage_Frederick (2) '"EST-Z9. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
,A FOR DEDUCTION FROM ASSESSED VALUATION
2�� is State Form 43709(R14/1-20) RECEIVED Gibson White River 2020
?6,6 Prescribed by Department of Local Government Finance
JUL 2 3 2019 File Mark
INSTRUCTIONS: To be filed in person or by mail. OS.SC ( Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 10 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) •
Cody D. Frederick and Taylor C. Frederick
Taxing District Key number/legal description Record number Page nu er
White River 26-02-58-014-003.015-018/PT MD 14 1 10 1.795 AC ZoW �)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?
$0.00 $173,000.00 ❑x 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
0 Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller .
Evansville Teachers Federal Credit Union FI
111
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 JUL 2 3 2020
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
lG 'b
0
Does applicant own property in a If yes,what county? What Taxing District? Has �Bc3'e uctioC SeenNrequesAtea D l 95s,state amount of deduction
other county El Yes LE'No on property for ❑ 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 20
Signature of County Auditor County Date(month,day,year)
IY1� IY l .D5 Gibson • 23 . vo
I/We certify under penal of perjury that e a ove and foregoing information is true 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(owner's full name) / Date(month,day,year)
(� �,�r c -r �I°7 d 12�n- 7- • a o
Full resident address of applicant(number and street,city, tate,and ZIP code)
326 E.775 N., 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)
•
Tha r,a„arfinc r r„ari,,n.,.a.,�,,..r„rta iianrior,nma„f„r,in Juin and a half vaarc ar,rr a Finn not fr,av0aari scan nnn