HomeMy WebLinkAboutMortgage_Moye (2) 4,-- STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
0�.,-,)'. FOR DEDUCTION FROM ASSESSED VALUATION
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v State Form 43709(R14!1-20) Gibson
Feuwj �' Prescribed by Department of Local Government Financeruo n
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1File Mark
INSTRUCTIONS: To be filed in person orby mail. 1Form filed with:
Filing Date: Form must be completed and dated in the calendar yea f which \icro..1‘.
eduction is sought. m 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)
Jeffrey R. Moye and Heather K. Moye, husband and wife
Taxing District Key number/legal description Record number PL e n{�'ber
Johnson 26-18-36-300-002.018-024 '2�� d'
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sol
assessment date,current year assessment date,current year date of application legal or equitable owner?
$259,250.00 ®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
# :!i =-I Property ❑AnnuallyAssessed
Fivg, . r, 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) DEC 16 2020
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
4S _
Address of assignee(number and street,city,state,and ZIP coda) t,IBSOiV COUNTY AUDITOR
Does applicant own property in any If yes,what county? What Taxing District? Has this deducti b n requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes VI No current year? Yes ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or on ct 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 Air\
County 1t.
Date( ,nth,day,year)
i In\ Z.1\11- ____
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I,We certify under the penalty of perjury that t - .:ove and foregoing information is t e nd correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property date application is filed.
Signatu ( wner's I name) Date(month,day,year)
• (1C,g -,Ite e-//1 n !� 10/22/2020
Full si ent ddres•pplicant(number and street,city,state,and ZIP code) Q
1013 S H. ers Crossing, 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)