HomeMy WebLinkAboutMortgage_Greemore -0"tCountyTownship STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Year
t",I FOR DEDUCTION FROM ASSESSED VALUATION Gibson 0 Z 2020
\\J4$ State Form 43709(R14/1-20)
m RECEIVED
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Prescribed by Department of Local Government Finance � e/ -
File Mark
INSTRUCTIONS: To be filed in person or by mail. OSS� NOV 1 9 2020 Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 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. ❑ County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Johnny M. Greemore,Jr.and Emily M Greemore
Taxing District Key number/legal description Record number Page number
26-19-19-204-001.343-026/PT SE NE 19 3 10 .29 AC
Fort Branch (INDIAN HILLS LOT 106) 94 2 0 2,00
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applic he sole
assessment date,current year assessment date,current year date of application legal or e able owner?
$0.00 $142,500.00 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 pro. yin question:Annually Assessed
FIL
IT•; .erty ❑Annually Assessed
7 � P Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union NOV 2 ®2020
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) GIBBON COUNTY AUDITOR
Does applicant own property in If yes,what county? . What Taxing District? Has this deductio een requested If yes,state amount of deduction
other county ❑Yes No on property for ,Yes El No
in Indiana? current year? 7-'1
A person is not entitled o 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 Date(month,day,year)
M1 �-�� Gibson \VIC, •2A2/0
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
own= ontract buy of the aforementioned property on date application is filed.
Sign, .wn fu n ate(month,,/der,year)
Fuld--ident-Air,• ess 0 •licant(number and street,city,state,and ZIP code)
E 800 S, F•- 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)
The penalties for perjury can include imprisonment up to two and a half veers and A fine not to ew eerf Sin nnn