HomeMy WebLinkAboutMortgage_Morton II 71‘gt. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
4 FOR DEDUCTION FROM ASSESSED VALUATION
Gibson 00f- 2020
�. f/, State Form 43709(R14/1-20)
'4�"�' by DepartmentRECEIVED
�e�m Prescribed of Local Government Finance
File Mark
INSTRUCTIONS: To be filed in person or by maiL `-6OSC I J U L 2 2 2019 FormFor filed with:
IJ
Filing Date: Form 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 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)
William T. Morton, II
Taxing District 001- Key number/legal description ., Record number Page number
26-14-18-203-000.103-007/THOMAS ENLG 26/27 20' 3I 3-'2.
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 eq�''table owner?
53,200.00 $58,900.00 I�'Yes 0 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 operty in question:Annually Assessed
eal Property ❑Annually Assessed
FIL Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 JUL 31 2020
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) )0� '
GIBSON COUNTY AUDITOR!
Does applicant own property in an If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county ❑Yes o 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 20 20 20 20 20 20
Signature of County Au GI% (�� County Date monk day,year)
%� t111 \./Jr</ Gibson � • )-2-0 a°
I/We certify under penalty of perjury that e above and foregoing information is true and correct and that the applicant is a resident of Indiana and
ow er I contr ct bu er of the aforementioned property on date application is filed.
i a ure o s e) \esDate(m nth,day,year)
Full sident address of applicant(number and street,city,state,and ZIP code)
611 POLK ST OAKLAND CITY IN 47660
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)
I.- .-.. '- . .e 'u can include imprisonment up to two and a half years and a fine not to exceed$10,000.