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HomeMy WebLinkAboutMortgage_Moskos ,,EE=Ts, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year °-l�,•. FOR DEDUCTION FROM ASSESSED VALUATION �i^f C;I� ( ) RECEIVED Gibson Union zo2� r.?.:. State Form 43709 R12/6-14 F�ar: ''''' �' Prescribed by Depart nt of Local Government Finance rays INSTRUCTIONS: SEP 2 3 2019 File Mark To be filed in person or by mail. VIAO\tk-T • '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) Trevor W. Moskos and Alyssa M. Moskos Taxing District Key number/legal description Record number Page number 025 26-18-28-100-000.126-025/Lot 2 Epperson Minor Sub, Gibson County 0103e 0 y I s Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole March 1,current year March 1,current year date of application CO legal or equitable owner? • p9t' I W 0 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 - -- - eal Property EtAnnually Assessed FI , MoileHomeC6-1.1-7) Name of mortgagee or contrail seller Evansville Teachers Federal Credit Union s� Address of mortgagee or contract seller(number and street,city,state,and ZiP code) SEP 2 07 • 2020 4405 Theatre Drive, Evansville, IN 47716 Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) GIBSON COUNTY AUDITOR Does applicant own property in y 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 No current year? ❑Yes ❑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 County Auditor ^^` County l�O Daf�ey( o h a, ar) O I/We certify under the penalty of perjury •- - e above and foregoing information is`tfue and correct and that the applicaln is a res ent of Indiana and owner/contract buyer of the aforementioned property_on date application is filed. — - gnature(owner's full name) y,Date(month,d year) a � ��r�� ,� c1I1y lez..vi o Full resident address of applicant(number and street,city,state,and ZIP code) 8782 South 450 West, Owensville, IN 47665 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. RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Name of applicant n r ' ' ( (� Name of mortgagee or contract seller / 1 t ,kf r)r R I cj. �I k.1.3S76 d`'� . !'l�'l1`9' ;� p �.., , �°d_�1„ Date filed(month,day,y ) C.) Amount of in edr s i41 Taxing District '��p 'lam •23- 2020 , IoC� cr , Key number/legal description F2 3 0 <678 a(2 - i - eY ., l 00 - i. Iwo . G �20 —�l S , Signature of Cou. ,'tor/Co my Rec. . untyi , Date(montnth,day, •