Mortgage_Schorr r',V>, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownshipYear
o°,a '',Z
a --.:. I FOR DEDUCTION FROM ASSESSED VALUATION
� Gibson 07i 2020
r; ,..? State Form 43709(R14/1-20) B'S eZ s E i v r:d
"`is' Prescribed by Department of Local Go nment Finance
�e�s
INSTRUCTIONS: To be filed in person or by mail. US
DEC 3 0 2020 File Mark
Form� filed with:
Lr
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. I 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)
Ashley M.Schorr a/k/a Ashley M. Shreffler
Taxing District ^Z Key number/legal description Record number P..a number
O vllle 26-17-09-200-005.032-021 /WINYARD PLACE 28 'io2 [ ect?
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?
$0.00 •$170,000.00 Q 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 the property in question:Annually Assessed
FI[_ Real Property ❑Annually Assessed
I � 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) JAN 0 i. 2021
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage (-. _ / •
/ r i.c4,i•1 .. .. '•i. . ....)
Address of assignee(number and street,city,state,and ZIP code) GIBSON COu w ti`: :".�: .TOR
Does applicant own property in any If yes,what county? What Taxing District? Has this deductio b en requested If yes,state amount of deduction
other county �( on property for (
in Indiana? ❑Yes El No current year? Yes E No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c n 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) hat' the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 201 20 20 20 20 20
p._,
u
Signature of Countit rkt 1 County Da ay,( Kear
Gibson t .
I I We certify under penalty of perjury that the above an going information is true and correct and that the applicant is a resid nt of Indiana and
owner 1 contract buyer of the aforementioned property on date application is filed.
S turg�(�w�eq(s full naTL 1 4 oni,nil
F II resident address bf applicant number street,city,state,and ZIP code) u�
9737 Winyard P., Owensville, IN 47665
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 nanaltia_s for nerinry ran include imnrisonment tin to tern and a half vaarc and a fine not to axcead sin nnn