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Home My WebLink AboutMortgage_Slade (3) ,';� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year :- FOR DEDUCTION FROM ASSESSED VALUATION ' State Form 43709(R13/10-15) Gibson Johnson 2020 - ` Prescribed by Department of Local Government Finance RECEIVED 'am CV INSTRUCTIONS: ; l I OI �OZO File Mark `- To be filed in person or by mail. J�V Form filed with: Filing Dates:1)Real Property::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 Co er o e sour )1E:c.County Recorder property is located on or before January 5 of the i iately succeeding calendar year. 2)Mobile/Manufactured Homes not assessed eal Property:Must file with the County Auditor of the county where the property is located durin he twelve(12) onths be re March 31 of each ye rthe deduction is sought �� _t See reverse side for additional instructions and qualifica ons. C I tt 1i Applicant(owner or contract buyer-see restrictions on reverse de) David Andrew Slade,Jenna Marie Slade Taxing District Key number/legal description n r P e e Johnson 26-18-36-200-O@1.c 24 ©0 2•-n9-d 24 `1 �u` 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 eg or equitable owner? 2,900.00 260,640.00 j. es 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 ❑Annually Assessed Name of mortgagee or contract seller ^ ; Mobile Home(IC 6-1.1-7) Evansville Teachers Federal FILE Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 4401 Theater Drive, Evansville, IN 47715 OCT g'6 2020 Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) ' • G IBSON COUNTY . 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 El 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 Aud',40• County , Date( on ,da year) Tnf)i 5' 10 6 20�. I/We certify under the .enalty of perjury that th-a.ove and foregoing information is and correct and that the applicant i a resent of Indiana and owner/contract buyer of the aforementioned property on date application is filed. ' nature(owner's full name) `` ^V,►n�^ gRb /�Gd(� ��12W S, �� ' II/I Date on `y y yl/ 0 UUU///�� rUl ull resident address of applicant(number and street,c 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) -