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Mortgage_Schroeder
,� }.,4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS ty Township Year er_= .,;k: FOR DEDUCTION FROM ASSESSED VALUATION Q ( 2020 a: j.::,..9 i State Form 43709(R13/10-15) S sva,o 1' Prescribed by Department of Local Government Finance File Mark reie INSTRUCTIONS: I2 \ To be filled in person or by mail. ..% +LC • Ford with: Filing Dates:1)Real Property:Must be completed and 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 County Auditor 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 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) Calan T. Schroeder and Shelby Schroeder Taxing District Key number/legal description 26-19-35-400-002.710-024/4031 E.White Record number 'Page jnumber ) ,.sC7/1./ISCj7L, Oak Ln., Haubstadt, Indiana 47639 c9O ` `bq 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 leg or e}uitable owner? $398,000.00 ' es ❑ 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 roperty in question: Annually Assessed Real Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller F Evansville Teachers Federal Credit Union ILEDAddress of mortgagee or contract seller(number and street,city,state,and ZIP code) 4401 Theater Drive, Evansville, IN 47715 Name of assignee or other owner or holder of mortgage OCT 1 6 20tU Address of assignee(number and street,city,state,and ZIP code) Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested C. ga-,Vate' Itgrli'oi�of pp on property for GIB deduction other county in Indiana? 0 Yes 0 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 Signat f County Audito County Date(month,day,year) .5� I©// i /?.m2-o I e certify under alty of perjury(tb t 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. Date(mont¢r�y,year) Signature owner'sful n mJ� (a 2 Full resident address of applicant(number and street,city,state,and ZIP code) 4031 E White Oak Ln.,Haubstadt, IN 47639 Person authorized by duly executed Power of Attomey 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.