HomeMy WebLinkAboutMortgage_Ball (3) 4fi "� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
I''% a FOR DEDUCTION FROM ASSESSED VALUATION
Q1\"` r l State Form 43709(R14/1-20) GIBSON Montgomery 2020
F' -''' Prescribed by Department of Local Government Finance
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File Mark
INSTRUCTIONS: To be filed in person or by mail.
Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. Z 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)
Kenneth R./Karen L. Ball 812-664-4315
Taxing District Key number/legal description Record number Page number
Montgomery 26-17-16-402-000.546-021 2020-3305
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?
$27,000 LI 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 Rion �LLB nA gEd (-
Address of mortgagee or contract seller(number a re ci state Z code)
KE,vve7-74 f
Name of assignee or other owner or holder of mortgage
OCT 14 2020
Address of assignee(number and street,city,state,and ZIP code) .. „(U O,
Does applicant own property in any If yes,what county n'strict? Has this deduction peen requesteu a yca,ainia...id of deduction
nhnd anaer l ['Yes ❑No SON COONTY AU ITOR currrenon tyear?r ❑Yes ❑No
GIB
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
Signatu f County Auditor County Date(month,day,year)
GIBSON 10/14/2020
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e certify under th e Ity of perjury ha e bove and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementione operty on date application is filed.
Signatur (oner's full name) �� Date(month,day,year)
0,� 10/14/2020
Full resident address of applicant(number and street,city,state,and ZIP code)
7001 S 950 W, 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)
Ttie..e..n1Hems inv.runthirit ron inn,.trim imnncnnmcnl'tr.,fin hnin anrJ a half voarc and a fins not to PYrPPrr.A1n nnn _