HomeMy WebLinkAboutMortgage_Sloan (2) 1t eie STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
a.-� FOR DEDUCTION FROM ASSESSED VALUATION
`' - ' 027 2020
�.:':��� State Form 43709(R14/1-20) Gibson
CI,',,;-, Prescribed by Department of Local Government Finance
F' Mark
INSTRUCTIONS: To be filed in person or by mail. Broadway Ti'tie/simpiifl1e 11/05/20 orm filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. m County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is
located on or before January 5 of the calendar year in which the property taxes are first due and payable. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Kelley Marie Sloan and Mary J Geuss
Taxing District Key number/legal description Record number Page number
Patoka T" v 26-11-15100-003.802-027 2n20 506 (I
Assessed value of real property ds 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 legal or equitable owner?
$152,116.00 ICI 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 the property in question:Annually Assessed
►./'Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union FILED
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 Nov 05 2020
Name of assignee or other owner or holder of mortgage 4
Address of assignee(number and street,city,state,and ZIP code) G I BSON COUNTY AUDITOR CB
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 Et 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 Auditor County G' s o n Date(month,day,year)
CB 11/05/2020
I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/ ontract buyer of the aforementioned property on date application is filed.
Signatur wner s full naNul ? t -'
Date(month,day,year)
II Ls -
Full resident address of applicant(number and street city,state,and ZIP code) 10 3 0!2 0 3 D
586 S Country Lane, Princeton, IN 47670
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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
Kelley Marie Sloan and Mary J. • Geuss Evansville Teachers Federal Credit tnic
Date tiled(month,day,year) Amount of indebtedness Taxing District 027
11/05/2020 $152,116 .00 Patoka
Key number/legal description
26-11-15-100-003.802-027 FILED 202 3 --.-6L)
Signature of County Auditor I County Recorder CB County Date(month,day,year)
G'son Nov 05 2020 11/05/2020
P.IRSf1N r..fll INN Al!MTN? (^.R