HomeMy WebLinkAboutMortgage_Bradburn 4 rrA7*q► STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
..�T FOR DEDUCTION FROM ASSESSED VALUATION l
�,� .��� /� 2020
a ; ',, z-,, State Form 43709(R13/10-15) RECEIVED J
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4, . ., Prescribed by Department of Local Government Finance File Mark
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O C T 2 3 2020
INSTRUCTIONS: g� ce .
To be filled in person or by mail. Form filed with:
Filing Dates:1)Real Property:Must be completed and dated in the lendar 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)
Jason Bradburn and Melissa Bradburn
Taxing District Key number/legal description 26-13-13-300-000.166-006/1206 S 1075 E, Record number Page number
Qo G . Oakland City, Indiana 47660 e�7i� Li ?)G
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of I's the applicant the sole
assessment date,current year assessment date,current year date of application legal or uitable owner?
$115,535.00 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 t - property in question: Annually Assessed
�T i reR=NIProperty ❑Annually Assessed
( Mobile Home (IC 6-1.1-7)
Name of mortgagee or contract seller .
Evansville Teachers Federal Credit Union OCT 2 $ 2020
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 oleitte91_4 --
Name of assignee or other owner or holder of mortgage
GIBSON COUNTY AUDITOR
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 If yes,
state amount of
other county on property for
dedin Indiana? ❑ Yes 0 No current year? 0 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 Au.11•. County Date(month,day,year)
•• M, � S�� (�•2g • 2ozo lf\ .
I/We certify under penalty of perjury that the above and fore g information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer the aforementioned property on date application is filed. Date(month,day,year)
Sig 4ture(ow - full name
Id— / c-2 20
F - •ent address of applicant(number and street,city,state,and ZIP code)
12'• 1075 E, Oakland City, IN 47660
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)
Tt.....,..,,,i«:,.n r,-nnA„n,ran inr6,rla imnrisonment un to two and a half years and a fine not to exceed$10,000.