HomeMy WebLinkAboutMortgage_Phares .<02N, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
or "' ` FOR DEDUCTION FROM ASSESSED VALUATION
° $n; Gibson Ft Branch 2020
• State Form 43709(R13/10-15)
44 a'et Prescribed by Department of Local Government Finance RECEIVED
►
�( .� File Mark
INSTRUCTIONS: 1\e 1 \
NOV ��Za Form filed with:
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 ,kc County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the 0 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)
Robert W. Phares ,An ela Phares
Taxing District Key number/legal description Record number Page number
D
Ft Branch 26-19-19-101-001.383-026 '- LI F6
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 a al or equitable owner?
$164,100.00 155,000.00 Yes 0 No If no,what is his/her exact share of interest? If owned with someone bthei than spouse,indicate with whotttm��, —
If name on record is different than that of applicant,indicate below: s e property in question:Annually Assessed
7- - --i'± Real Property 0 Annually Assessed
FT r.L., ,,
�s Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller -=�..-I.Ja-_.
Evansville Teachers Federal
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) NOV 0 5 2020
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage . ,--/ .._.--V 14(4 ``
Address of assignee(number and street,city,state,and ZIP code)
CIBSOIV COLJi'J i f y; i'OR
Does applicant own property in an 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 ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or on ract 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 Auditor County I Date(month,day,yeah
mi , on it•�o,• zooI/We certify under the pe Ity of perjury th(C-1-
e move and foregoing information is and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signatur- ,w yes full n e) Date(month,day,year)
����/,, /, '/a,n�' 4 10/21/20
6/10,A.60
Full resid-ntaddfess o of p/a t n berand reet,city,state,and IP de)
404 E Poplar St, F B ch, IN, 47648
Person authorized by duly ex 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)
. . . . . . _ _.__, _ , — AA7gR