HomeMy WebLinkAboutMortgage_Duff °' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
s -'=. FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709(R13/10-15) Gibson Princeton 2020
°+ ,•.1 Prescribed by Department of Local Government Finance
Rua
RECEIVED Mark
TWoir4 INSTRUCTIONS: SEP 2 3 2019 Form filed with:
To be filed in person or by mail.
Filing Dates:1)Real Property:Must be c mpleted 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 ❑ County Recorder
property is located on or before January 5 of the immediately succeeding calendar year. - -
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)
Darlene B. Duff,Adam L. Bowman
Taxing District Key number/legal description Record number P e r
Princeton 26-11-10-200-004.113-028 2020 . j'
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 le I or equitable owner?
$23,600.00 140,000.00 Yes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with w m
If name on record is different than that of applicant,indicate below: Is the property in question:Annually Assessed
�I Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller g.-
Evansville Teachers Federal r���}
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) SEP .•2 ZUZQ
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) GI1358N COUNTY .1J i
Does applicant own property in any/ If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county ' on property for
in Indiana? ❑Yes D'No current year? ❑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
Signature of Coun V(1 tor County Date(month,day,year)
Al niAir . (C36:) 1,SOn R. 2.3 •7.o 1-0 _
I/We certify under the penalty of perjury hat the above and foregoing information is ru and correct and that the applicant is a resident of Indiana and
o /contract buyer of the aforementioned property on date application is filed.
\ign,l i ner�ull name) / r ���Ae/t4-3-1-27. Date(month,day,year)
g� 09/15/20
Full r:- .ent ad.ress.f a..call number and st city,state,and ZIP code)
234 N 275 W, Princeton, IN, 70
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. dF4'19