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HomeMy WebLinkAboutMortgage_Schroeder (4) /4§7ri STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year f '-/7..tile, FOR DEDUCTION FROM ASSESSED VALUATION x '- `;� State Form 43709(R13/10-15) _n ©Z� 2020 `���a�b�� Prescribed by Department of Local Government Finance File Mark INSTRUCTIONS: To be filled in person or by mail. Form fed 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 located on or before January 5 of the immediately succeeding calendar year. County Auditor 2)Mobile/Manufactured Homes not assessed as Real Property: Must file with the County Auditor of the 0 County Recorder 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) Robert L. Schroeder and Tamra J. Schroeder • Taxing District Key number/legal description 26-19-35-400-002.709-024/4020 E.White Re rd number Page number Oak Ln., Haubstadt, Indiana 47639 O O 39/1 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 legs ofequitable owner? $323,000.00 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: ,s ftle property in question: Annually Assessed Real Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Evansville Teachers Federal Credit Union FIT ' ' Address of mortgagee or contract seller(number and street,city,state,and ZIP code) / f 4401 Theater Drive, Evansville, IN 47715 Name of assignee or other owner or holder of mortgage S E P 0 3 2020 Address of assignee(number and street,city,state,and ZIP code) rr,�'tt Does applicant own property in any If yes,what county? What Taxing District? Has this deduction beats tE gUe 0U—N IIY0s;;=st' a)nount of other county on property for deduction in Indiana? 0 Yes 0 No current year? 0 Yes 0 No 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 Signat el of County Auditor County Date(month,day,year) O / 1. ?_.�hS(7x_J 9 -3-2©77 I W rtify under p a of perjury'tfj t the above an oregomg information is true and correct and that the applicant is a resident of Indiana and owner/contract buyer of the aforemerit.ibned property on date application is filed. Sig ature(owner's full na ) D to( onth,day,year) Full resident address of applicant umber and street,city,state,and ZIP code) 4020 E White Oak 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.