HomeMy WebLinkAboutMortgage_Ash _ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
>A FOR DEDUCTION FROM ASSESSED VALUATION
"`� a. Ili- State Form 43709(R11 6-09) Gibson Fort Branch 2020
:,. ••:r Prescribed by Department of Local Government Finance
yi:
INSTRUCTIONS: 101-4., -{,1e_- l0.30 •202O 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. Wm 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. 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)
* Lyle N.Ash
Taxing District 0�4 Key number/legal description Record number Page n r
INDIAN HILLS 1 D-27 V\-lq-703-Oo1. A9-�-0 ai ?-.o 49
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 * $0.00 * $0.00 Ow , co 0 Yes 0 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 property in question: Annually Assessed
Feell PPiopertii_i 9 A wally Assessed
/ . d Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
* Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) NOV ® 2 2020
* 4401 Theater Drive,Evansville, IN 47716
Name of assignee or other owner or holder of mortgage _�R--
� t
Address of assignee(number and street, city,state,and ZIP code) GIBSON COUNTY AUDITOR
Does applicant own property in any other In yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
0 Yes 0 No \' Yes 0 No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County AuditoryCiV)
County 1 � Date( Q�rt y .I Y t �� UI/We certify under the penalty perjury that and foregoing information is t ue and correct and that the applicant a res ent of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Sig a ' uII �)— Date(month, day,year)
(0 Zp 21 320
II reside dress of applicant(number and street, city,state,and ZIP code)
* 152 E 800 S,Fort Branch, IN 47648
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)