HomeMy WebLinkAboutMortgage_Robinson (8) 0sr .. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
s` T FOR DEDUCTION FROM ASSESSED VALUATION
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State Form 43709(R14/1-20 Gibson (52 • 2020
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e�d Prescribed by Department of Local Government Finance
DEC 0 81020 File Mark
INSTRUCTIONS: To be filed in person or by mail. QS,5'C: Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. Er 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)
Randy L. Robinson and Angela D. Robinson
Taxing Distri Key number/legal descriptionRecord number Pa numr
D2 • 26-18-36-200-002.715-024/WATER TOWER PLACE 29/30 �!/'/�"�, 5�
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?
$374,000.00s ❑ 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
TT
al Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller F
F
a i
Heritage Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) DEC 0 8 2020
5388 Old State Road 66, Newburgh, IN 47630
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
GIBSON COUNTY ALJC a T OR
Does applicant own property in If yes,what county? What Taxing District? Has this deduction en requested If yes,state amount of deduction
other county on property for Yes ❑ NO
in Indiana? ❑Yes No current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage o con act 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
Signature of County Audito 411),
County D e(mopjily,ye r
Gibson ' tvl�'(a(
I/We certify under penalty of perju that ove and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the afor' ioned property on date application is filed.
5jwatur owner's full na Date(month,day,year)
Full resident address o applica t(numbe-nd street,city,state,and ZIP code)
715 W. Brayden Dr., 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)