HomeMy WebLinkAboutMortgage_Backer .,0-74. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
Sri FOR DEDUCTION FROM ASSESSED VALUATION
s RECEIVED Gibson 022 2020
. >.- State Form 43709(R14/1-20)
e' ` Prescribed by Department of Local Government Finance
OCT 012020 File Mark.
INSTRUCTIONS: To be filed in person or by mail. �O.e_ ' Form filed with:
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)
Logan A. Backer and Serena R. Backer
Taxing District Key number/legal description Record number Page number
MA-1. 26-18-07-100-000.483-022/PT NW 7-3-11 .34 AC 10 y3.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
assessment date,current year assessment date,current year date of application legal�or a ble owner?
$0.00 $132,063.00 L7 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 operty in question:Annually Assessed
eal Property 0 Annually Assessed
II-
Evansville Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller F I Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 OCT 0 5 2020
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) )`+"'"' "
GIBSON COUNTY AilfITOR
Does applicant own property in a If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for El Yes El No
in Indiana? ❑Yes o 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' .i. County Date(month,day,_year)
•� 1 1"1C, Gibson `0 • r- GV24
I I We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature owner's full name) 0� Date(month,day,year)
o< ,,, a. ,t e,,,,,,,rtia.vi.� -=-c 9/alla443
Full reside address of applicant(number and street,city,state,and ZIP code)
2800 Ravenswood Dr., Evansville, IN 47714
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 unto two and a half veers and a fine not to exceed S 10.000.