HomeMy WebLinkAboutMortgage_Davis (32) s''e`=4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
: — • FOR DEDUCTION FROM ASSESSED VALUATION t 2020
g., , I1 State Form 43709(R14/1-20) Gibson 0 Zvl
%. RECEIVED
gate Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: To be filed in person or by mail. SSC NOV0 gmForm filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. Er 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)
Greg R. Davis and Leah R. Davis
Taxing District nr� Key number/legal description Record number Page numFyer
k{a+ tet — V L� • 26-18-36-300-002.550-024/HUNTERS CROSSING 2 Lot 1 "�^nCJ�n • 53'/28
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 legal or equitable owner?
$0.00 $220,000.00 Q 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
u Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Nam of mor ge or contract seller
iEvansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) I
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage 2 ®2020
Address of assignee(number and street,city,state,and ZIP code) NOVtV
Does applicant own property in any If yes,what county? What Taxing District? /d""" i Vero eq ested If yes,state amount of deduction
other county No GIBBON CO o e o
in Indiana? 0 Yes current year? Yes L! 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 Cou ditor, County D e(mpgth�,dayxear,),
m\ Gibson 1 i' �/V" �U
I/We certify under penalty of perju a—' . the above and foregoing i�r fotmation is true and correct and that the applicant is a resident of Indiana and
o er I con ct er of the aforementioned property on date aRpii or\isff led.
S' nature(ow rs fua Y <� Dat�lith,�adlve'��`10
1 Y l� 1,��JJ rr �Vj
Full sident addr s of applicant(number and street,city,state,and ZIP de) JA(1 11`�1
10479 S. Pheasant Run, Haubstadt, IN 47639
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 .enalties for.-i .. •••• - • - . - - ^ - - o I li s e