HomeMy WebLinkAboutMortgage_Slade (2) r40,,,T,,- .� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
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k FOR DEDUCTION FROM ASSESSED VALUATION
t State Form 43709(R13/10-15) Gibson Johnson 2020
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, Prescribed by Department of Local Government Finance RECEIVED
OC/l File Mark
INSTRUCTIONS: ® I 1'i v 1 6 2020 Form filed with.
To be filed in person or by mail. Cr
Filing Dates:1)Real Property:Must be completed and dated in the calendar year for which the deduction is sought. 1 County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the )!C 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)
David Andrew Slade,Jenna Marie Slade
Taxing District Key number/legal
as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
ac a sment date,current year assessment date,current year date of application eg or equitable owner?
2,900.00 260,640.00 Yes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with wh m - --
If name on record is different than that of applicant,indicate below: •e property in question:Annually Assessed
r Real Property 0 Annually Assessed
Ok
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller .
Evansville Teachers Federal .I f = v' ,
..
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 OCT i'6 2020
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 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 ❑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 County Audi de 0 County l ]�J� Date(mon da year)
,�rni�h 10 16�?,ozv.
I/We certify under the •enalty of perjury that th a ove and foregoing information is and correct and that the applicant i a res ent of Indiana and
owner/contract buyer of the aforementioned property on date application is filed. n 1
N,n ((owner's t 41-4ill J 51 L ,t's
Date onth day, t.V
ulI resident address of applicant(number and street, state,=nd ZIP code)
780 W Brayden Dr, Haubstadt, IN • •39
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)