HomeMy WebLinkAboutMortgage_Marvel (3) C...„./)N STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
tip?x FOR DEDUCTION FROM ASSESSED VALUATION
'' i rr Gibson0 2-j 2020
it State Form 43709 R14/1-20 11` Prescribed by Department of Local Government Finance V,t:
1� b ' 1 O 20 File Mark
INSTRUCTIONS: To be filed in person or by mail. �rL 1 Form filed with: •
Filing Date: .Form must be completed and dated in the calendar year for which the deduction is sought. Z 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)
-Andrew D. Marvel
Taxing District �r�1 ^` Key number/legal description Record number Page umber
— wet sville.— v \ 26-18-06-100-003.984-021 /PT N 6 3 11 5.328 AC '3O l'o 0((�L}}����
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 e� 5 A�j S0O legal or equitable owner? •
$0.00 $1�4&000.00 d Q Yes ❑ No
,__ __If no,what is his/her exact-share of interest? - - - - - - If owned-with-someone-other-than-spouse,indicate with whom - -- — -----
If name on record is different than that of applicant,indicate below: Is the property in question:Annually Assessed
IErReal Property El Annually Assessed
->I i . Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller IL...7_1
Evansville Teachers Federal Credit Union
Address of.mortgageeor contract seller(number and street,city,state,and ZIP Tie
4401 Theater Drive, Evansville, IN 47715 1C� ®� 2020
Name of assignee or other owner or holder of mortgage n J---
Address of assignee(number and street,city,state,and ZIP code) �( �
GIBSON COON i`r AuDITOI �/J
Does applicant own property in any If yes,what county? What Taxing District? Has this deductio be requested If yes,state amount of deduction
other county El Yes on property for
in Indiana? Q No current year? es TO No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or ntr t indebtedness that is recorded in the county
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
•
20 2'$ ! 20 20 20 20
Signature of County Auditor County Date(month.day,year)
VI\ Gibson 1 `• 0 f 24)
I/We certi under penalty of perjury that •- .1•i“ nd foregoing information is true and correct and that the applicant is a resident of Indiana and
ow r/co act bu er of the aforementioned •rpperty on date application is filed.
i na (owne Dfgntla�dQy,$�Q��
Il re d nt a r pplicant number and stree city,state,and ZIP code) !\�Y C ( Lty�
6447 W.475 S., Owensville, IN 47665
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)