HomeMy WebLinkAboutMortgage_Rigsby (2) , �- STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownshi•
4`/-5'-7-A FOR DEDUCTION FROM ASSESSED VALUATION ` Year
._ .;= State Form 43709(R13/10-15) G 2020
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..;�_/' Prescribed by Departme f Local Government Finan File Mark
tens
INSTRUCTIONS: l\ 2 'L3
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To be filled in person or by mail. Q)V3 (e.P Fo f d with:
Filing Dates: 1)Real Property:Must be completed and dated in the cale a year for which the dedu tion is sought.
Must be filed or postmarked with the County Auditor or C ty Recorder of the county where the
property is located on or before January 5 of the immediate y succeeding calendar year. County Auditor
2)Mobile/Manufactured Homes 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)
Patrick Ian Rigsby
Taxi Di ct Key number/legal description 26-12-18-304-002.507-028/1904 S. Record number Page number
J Boulevard PI., Princeton, Indiana 47670 AO 56
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is t pplicant the sole
assessment date,current year assessment date,current year date of application lega r equitable owner?
$90,000.00 Yes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with who
If name on record is different than that of applicant,indicate below: a property in question: Annually Assessed
( Real Property 0 Annually Assessed
��""�� Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller F__.I L
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 NOV 2 5 2020
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) Q/6{C` W -
GIBSON COUNTY AUDITOR
Does applicant own property in any If yes,what county? What Taxing District? Has this deduct n b en requested If yes,state amount of
other county on property for deduction
in Indiana? 0 Yes 0 No current year? Yes 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c tra t 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) hat i the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
•
20 0 0 20 20 20 20
Signature of County Audi r ounty 1 Date(mon`h day a
I/We certify under penalty of perjury that : -.. e and foreg in information is true and correct and that the,appli t is a resident of Indiana and
owner/contract buyer of the aforementioned property on date a lication is filed. _
Signature(owner's full name) D1TTJzzc'
t ( on h,day,year)
Full ident address of applicant(nub nd str t ' ,state,and ZIP code)
1 04 S Boulevard PI., 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.