HomeMy WebLinkAboutMortgage_Sloan (3) ,01.*.q STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
4r` ,,-; , FOR DEDUCTION FROM ASSESSED VALUATION
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2020
" �R"t[3 State Form 43709(R14/1 20) Q�
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.�_ Prescribed by Department of Local Government Finance File Mark
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INSTRUCTIONS:
To be filled in person or by mail. F rm iled with:
Filing Dates: Form must be completed and dated in the calendar year for which the deduction is sought.
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 ae first due County Auditor
and payable. ❑ County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Gary W. Sloan and Danielle L. Sloan
Taxing 'strict Key number/legal description 26-11-31-300-004.244-021 / Record number Page number
2 '4-40-96 S3,9 J
Assesse value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is th plicant the sole
assessment date,current year assessment date,current year date of application legs equitable owner?
$205,233.00 Yes ❑ 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: Is t property in question: Annually Assessed
eal Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
V AI p
Evansville Teachers Federal Credit Union `�V")
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 2o'lQ
4401 Theater Drive, Evansville, IN 47715 V1EC 4
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) �,,1a -SY AilO� (�R
SON COO
Does applicant own property in any If yes,what county? What Ta&img District? Has this deduction be requested If yes,state amount of
other county on property for deduction
in Indiana? 0 Yes ❑ No current year? ❑ s . 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contra t i debtedness 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 th basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 f
/ 20 20 20 20 20 20
Signature of Co. .itor ) County Date(mont , y, e
41
I/We certify .er the penalty of perjury that the above and for going information is true and correct and that the a licant i a resident of Indiana
and owner/contract buyer of the aforementioned pre.erty o d to ap lica' is filed.
W.
Sig atur O towner's full na ) D mo h d y, ear)
Full resi tad ss of applicant(number and street,city,state,and Z1-code
6223 W Stalheim Ave., 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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.