HomeMy WebLinkAboutMortgage_Kirkpatrick toamg oy STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
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-- FOR DEDUCTION FROM ASSESSED VALUATION
:> '= if State Form 43709(R14/1-20) Gibson 0 — 2020
��18 Prescribed by Department of Local Government Finance
RECEIVED
DEC 1'1 2020 File Mark
INSTRUCTIONS: To be filed in person or by mail. ,e Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. IZI 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. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Robert Kirkpatrick,Jr.
Taxing District Key number/legal description Record number Page number
Oakland City 26-14-18-104-001.308-007/NW ENLG 7 PT BLK 7 �0`").D . 55 8
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date,current year date of application legal or quitable owner?
$0.00 $66,768.00 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 t property in question:Annually Assessed
4
Fi operty ❑ Annually Assessed
( a 1 Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller ,r,---s=�.. -
Evansville Teachers Federal Credit Union Address of mortgagee or contract seller(number and street,city,state,and ZIP code) DEC 1 4 2020
PO Box 5129, Evansville, IN 47116-5129 .
Name of assignee ot,other owner or holder of mortgage 4j. -�
•
Address of assignee(number and street,city,state,and ZIP code) G I BSO N COUNTY AUDITOR
Does applicant own property any If yes,what county? What Taxing District? Has this deducti b en requested If yes,state amount of deduction
other county ❑Yes N on property for
in Indianana?? �JJ���---O current year? Yes ❑ No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract 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 2 20 20 20 20
Signature of County AV County Datet2th
, ,year
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Gibson •çaY
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II We certify under penalty of perjury ove and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner I contract buyer f he aforementioned property on date application is filed.
S� wners full na Date(month,day,year)
C� 11/09/2020
Full r sident address of a icant(number a d street,city,state,and ZIP code)
518 N Short St,Oakland City IN 47660
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)