HomeMy WebLinkAboutMortgage_Rowe (3) RECEIVED
.,,'',,4, STATEMENT OF MORTGAGE OR CONTRACT Itt*I ;. m,,, SS County Township Year
4 e FOR DEDUCTION FROM ASSESSED VALUATIONR ED
State Form 43709(R14/1-20) Gibson006 `�2
,eie
,-; Prescribed by Department of Local Government Finance JAN 0 4 2021
/� File Mark
INSTRUCTIONS: To be filed in person or by mail. r i:ki &t c,`1 SA)1111 WW'"'�t II l.Y�^►�� Form filed with:
Filing Date: Form must be completed and dated in the calen ar year for which the dedu Lion is sought, 2 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)
Adam Rowe and Paige Rowe, husband and wife
Taxing District Key number/legal description Recor umber _ Page nurr er
Columbia 26-13-24-400-001.652-006 J/-11 U
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 equitable owner?
$165,000.00 2Yes ❑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: FILE he property in question:Annually Assessed
FA Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller JAN 0 5 20A
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) �����
4401 Theater Drive, Evansville, IN 47715 j� a. J/�ir.�.€ 4Zo)
Name of assignee or other owner or holder of mortgage GIBSON COUNTY AUi3:i OR
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deducti ben requested If yes,state amount of deduction
other county on property for
in Indiana? Dyes ®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 co t 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 2 20 20 20 20 20
Signature of County Auditor —11(tC0c:F County4so Date(m t, yefa3}I oI/We certify under the penalty of perjury that the above and fore ing i ation is nd correct and that the applicant is resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(owner' ull name) 4L--,ScIL
����� Date(month,day,year)
7 f' 12/29/2020
Full resident address of applicant(number and street,city,' tate,and ZIP code)
2189 S 1150 E, 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,stale,and ZIP code)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed S10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
Adam Rowe and Paige Rowe T ederal Credit Union
Date filed(month,da eat Amount of indebtedness *.'strict
--' -ci rZl $165,01=a.I •
• - o mbia v
Key number!legal description `- C,
26-13-24-400-001.652-006 JAN 0 5 202k . r,i
Signature of County A ditoritzuracorde o County Die m of y N "'
'son L -
a.
GIBSON COUNTY AI.7u.i rJR