HomeMy WebLinkAboutMortgage_Smith (43) 01-„E.,,�, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
a/ 9- FOR DEDUCTION FROM ASSESSED VALUATION
1 ::.'::',-.',!„. = 2020
: State Form 43709(R13/10-15) Gibson Princeton
' "' ." Prescribed by Department of Local Government Finance
i ielo J
File Mark
INSTRUCTIONS:
To be filed in person or by mail. 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)
Kent/Brenda Smith
Taxing District Key number/legal description Record number Page number
Princeton 26-12-07-103-000.568-028 20-3Ll ek
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?
$20,000 ❑■ 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
Evansville Teachers Federal Credit Union .
Address of mortgagee or contract sell! ^' nnehal - fl ,
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Name of assignee or other owner or h �/v f..r_p-- ._62J
/3��6/4 J SEP 2 20��
Address of assignee(number andstn (/�% �//� eR��
Does applicant own property in any �" 3" !this deduction been requ �" 1(( ,�St ' �Af Deduction
other county property for d U
in Indiana? ❑Yes ❑■ No G� /t _O -ent year? ❑( e S Cale
A person is not entitled to this dec d /Ll(> Drtgage or contract indebtedness that is recorded in the county
recorder's office(including any hc..._ __, _ der'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)
s)a1MiR ,� Gibson 09/02/2020
I/We certify under the penalty of perju��YY-tha ove and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buye e afor Mentioned grope y on a application is filed.
Signatury....,i
er's full Date(month,day,year)
/J 09/02/2020
Full rest dress of applicant(number an s et,city,state,and ZIP code)
`5-2-7- merlon, Princeton, In 47670
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)