HomeMy WebLinkAboutMortgage_Long (3) 's'!!). STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
Y ',,,.,Li . FOR DEDUCTION FROM ASSESSED VALUATION 0 2�
5, `� State Form 43709(RI1 6-09) CE,k`ED Gibson Hetibetetit 2020
'►;: Prescribed by Department of Local Government Finance
6118
INSTRUCTIONS: IO T OCT 2 2 2020 File Mark
To be filed in person or by mail.
Filing Dates: 1.) Real Property: Must be completed and dated in the calendar year for which the deduction is sought. Form filed with:
Must be filed with the County Auditor or County Recorder of the county where the property is located
on or before January 5 of the immediately succeeding calendar year. X County Auditor
2.) Mobile/Manufactured Home 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)
* Timothy Charles Long and Joni M.Long
Taxing District Key number/legal descri ti Q �pp Record r Page pe urr�ber
* Johnson Township * TWIN OAK 6 - 23--01— �0 ^OD2 �OCl -024 • '
Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness Is the applicant the sole
March 1,current year as of March 1,current year. unpaid as of date of application legal or equitable owner?
* $0.00 *--$38 t39:'bb' �QJ� moo.00 * o0 0 Yes 0 No
If no,what is his I her exact share of interest? "'U If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: Is the rope rope in question: Annually Assessed
T
F�al P -pqr j Ii1 Annually Assessed1 _J Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
* Evansville Teachers Federal Credit Union OCT 2020
Address of mortgagee or contract seller(number and street, city,state, and ZIP code)
* 4401 Theater Drive,Evansville,IN 47716
Name of assignee or other owner or holder of mortgage
Address of ss' nee m erapfl str t, city st e,a d ZIP co(*) GIBSON C I
IUD-74 n t✓ [Ai 17(p3q
Does applicant own property in any other In yes,whit county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
0 Yes ❑ No ❑ Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Auditor County ���°.n _ Date(r�7en, , d9gi yearI/We certify under the penal4f1i)Atre
rjury 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 pro erty on date application is filed.
Si r owne4 f II nam _ /j Date(month, day,year)
ull re ident addre of applicant(number nd s reet, city, st- —nd ZIP code)
* 10679 S 525 E,Haubstadt, IN 47639
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)
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
N of applicant N e of mortga e or�tract seller /
I.%(YI L tarr6 Jovu. U qua nsvl1lE I�GtC �S re dulli0rU
Date filed mo day, mount of indebtedness ,.0 Taxing District O
Key number
/legal description '- ;� •' 4 n o
—02F a� 11 —a e
Signature of Coun ditor; ountytst)-in County �\0-C-1-21-21128 S0r\ Dlattee(mo•Znth,day,year)N
N (fit
./..----: K1) c:D 0
GIBSON COUNTY AUDITOR
Statement of Mortgage or Contract Indebtedness IN2012876