HomeMy WebLinkAboutMortgage_Richardson (2) rr"t y STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
o«„ �9; County Township_ Year
4. 7• FOR DEDUCTION FROM ASSESSED VALUATION
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I. k State Form 43709(R14/1-20) RECEIVED Gibson `HF,io - 2021
'i•-'a Prescribed by Department of Local Government Finance
G-)lutp/i12161
DEC 1 0 2020 File Mark
INSTRUCTIONS: To be filed in person or by mail. I Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. ❑ 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)
Thomas Richardson
Taxing District Key number/legal description Record number Page number
026 26-18-13-401-001.850-026/PT W SE 13-3-11 .44 AC, Gibson County cacti_ o�O Ss 4 I
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?
IIJs 1 tic 0 171Yes ❑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
Z Real Property ❑Annually Assessed
F ir 77Th Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
First Federal Savings Bank 1 L I-m---1i
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
5001 Davis Lant Dr, PO Box 1111, Evansville, IN 47706 DEC 14 2020
Name of assignee or other owner or holder of mortgage
,A,..4--
Address of assignee(number and street,city,state,and ZIP code) �"'P�°"`"'f'°'t�'v'
GIBSON COUNTY AUDITOR
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes 't<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 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 • 20 20 20 20 20
Signature of County Audito County Date lot y,ye r)
w►i \LSo� (vk 'Low
I/We certify under the enalty of perjury that t e a ove and foregoing information is t tu, and correct and that the applicant is a esiden of Indiana and
owner/contr ct buyer of the aforementioned property on date application is filed.
Signat er's ) Date(month,day,year)
a _ 11/19/2020
ull resident addr ss of applicant(number and street,city,state,and ZIP code)
401 North West Street 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)
RECEIPT FOR FILI,F,e- T MENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant . < y ,:. e of mortgagee or contract seller
Thomas Richardson �'w First Federal Savings Bank
Date file (mon h,day,year) Amount of indebtedness Taxing District
• 1 k.1 • 9,01,0 , DEC 14 Aglo 5, C)% 0 026
Key number/legal description �q1
26-18-13-401-001.850-026 PT W SE 13 11..4 AC Gibson Count2'0 au c
Signature of• .y Auditor/Coun Recorder _toy County q Date(month,day,year)
�IBSON COjj YAU OR �oiN 12 . 14 . .