HomeMy WebLinkAboutMortgage_Riley (20) o, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
s FOR DEDUCTION FROM ASSESSED VALUATION REMEo J�;�.zN
3k i ,,);' State Form 43709(R11 6-09) I .bL'L l tirhb Gibson Princeton 2020
4t. ,A18; Prescribed by Department of Local Government Finance ,'z
)��uV 1 r { 2020
INSTRUCTIONS: (o1 y*`^-
J S( File Mark
To be filed in person or by mail. 1. t"
Filing Dates: 1.) Real Property: Must be completed and dated in the calendar year for which the deduction is sought. r 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) _a20
* Paula G.Riley
Taxing Distrib (�(�j Key number/legal descri ion Record n tuber Page n{u 1ber
NS LOT 2 PT R1 —12,".CO 1—.US-'�s•267A *'� 511 v
Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indbb-tedness 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 * $94,949.00 * $0.00 El 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
FIT X R al roperty CIAnnually Assessed
i it 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 1 it ZUZU
* 4405 Theater Drive,Evansville, IN 47716
Name of assignee or other owner or holder of mortgage /t, • 4 i
Address of assignee(number and street, city,state, and ZIP code) GIBSON COUNTY AUL.i OR
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?
❑ Yes El No XYes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 MI I 20 20 20 20 20
Signature of County Auditor Vii - County l`O n Date(mo , day,yew)_
L.] [[- 11. /,JflJ
I/We certify under the penalty of perjury that the above and foregoing information is t and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned p erty on date application is filed.
ignaturr(owner's full name) ` Date month,day,year)
Full resident address of applicant(number and s reet, city state,and ZIP code)
* 305 N.Race Street,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)