HomeMy WebLinkAboutMortgage_Marceaux #Azzi4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownshipYear
FOR DEDUCTION FROM ASSESSED VALUATION
?i`-.'4- State Form 43709(R14/1-20) Gibson
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-i Prescribed by Department of Local Government Fi nce
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[I \ nl� DEC 2 20 d File Mark
INSTRUCTIONS: To be filed in person or by mail. (-��;, 1 1J J
Form filed with:
Filing Date: Form must be completed and dated in the oaten ar year for which the eduction is sought. m 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)
Jason P. Marceau and Kristin N MarceauXFhusband and wife
Taxing District Key number/legal descriptior/ Record number Page��o J�
Patoka ?. 0"26-05-31-200-004.635-027 . �7 .0
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?
$216,000.00 EYes ❑No
If no,what is his I 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 eat property in
Property question:Annually AnnuallyAssesse Assessed
FId
� ❑
I E t Mobile Home(iC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state;and ZiP code) DEC 2 2020
4401 Theater Drive, Evansville, IN 47715 v
Name of assignee or other owner or holder of mortgage (/�� ,i
1f 1 (A. I4
at Address of assignee(number and street,city,state,and ZIP code) GIBS
OIN'COUNTY AUDITOR
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction b en requested If yes,stale amount of deduction
other county on property for
in Indiana? ❑Yes ®No current year?- Yes 0 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 0 20 20 20 20 20
Signature of County Auditor County c Date(mo h,day,yea
I V I* (
I/We certify under the natty of perjury t h and foregoing information i t a and correct and that the applicant is rest of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(owner's full name) Q Date(month,day,year)
� l+%- ,� s�� 12/22/2020
Full residen�s of applicant(number and street,city,state,and,,-. ,
446 E Old Petersburg Rd., Princeton, IN 47670
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.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
Jason P. Marceaux and Kristin N. Marceaux TEva gil f achers Federal Credit Union
Date filed(month,day,ye Amount of indebtes� "'5� f Taxing District
20 d$2'f6;0 0 0 -f Patoka
Key number/�l description /—'
26-05-31-200-004.635-027 DEC 2 8.2020 ' ratio - 610 )
Signature of C ty ditor I Co ty Recor r County' Date(month,
r) n
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GIBBON COUNTY AUDITOR - if
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