Homestead_Hopf ,,,7_r STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
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'= > FOR DEDUCTION FROM ASSESSED VALUATION
}'. !t& State Form 43709(R13/10-15) JQo 0 26 0 P
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'' Prescribed by Department of Local G vemment Finan e
fora Yd1/4VKA � 1 ` File Mark
INSTRUCTIONS: ` 1To be filed in person or by mail. Form fled with:
Filing Dates: 1) Real Property:Must be complete and dated in the lender year fo 'ch the deduction is sought.
Must be filed or postmarked with the County Auditor or County Recor of the county where the property is County Auditor
located on or before January 5 of the immediately succeeding calendar year. ❑ ounty Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the 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)
Neil A. Hopf and Jennifer E Hopf, husband and wife
Taxing District Key number/legal description Record ny�nber age numbe
Ft Branch 26-19-19-102-000.419-026 20
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?
$140,000.00 El 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
❑✓ Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union F1 : Efi
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 DEC 16 2020
Address of assignee(number and street.city,state,and ZIP code) //������,,,,����
Does applicant own property in any If yes,what county? What Taxing District? Has ihi�ks�artet (ksted If es,state amount of deduction
other county ❑Yes in Indiana? ✓ No G�c�u Ay�ear)v es ACINo
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 Qg:srli
Coun Date month.day,year)
K
1/We certify under t e penalty of perjury that the above and foregoing information' e and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Si nature(ow is full flaw.) y�Q Date(month,day,year)
aU azzbe h � ,t �° �`e,) ,;( .4 . 10/02/2020
ull reside ddress of appli t(number and street r ate,and ZIP code
602 S Eastview St., Fort 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)
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