HomeMy WebLinkAboutMortgage_Elpers (37) �s-17*, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
..�Q� FOR DEDUCTION FROM ASSESSED VALUATION
JJ >r�i
f,I'L-�;.:'.=ir' State Form 43709(R13/10-15) I C 1
`y 6- Prescribed by Department of Local Government Finance RECEIVED gJ0 q . 0/(1 20� "
�- File Mark
INSTRUCTIONS: ) '01 a -,.I FEB 0 3 2021
To be filed in person or by mail. Form filed with:
Filing Dates: 1) Real Property:Must be c pleted and dated in the calendar year for which the deduction is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is County Auditor
located on or before January 5 of the immediately succeeding calendar year. County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county
where the property is located during the twelve(12)months before March 31 of each year the deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Elpers,Christopher J and Meaghan D
Taxing District Key number/leaal description R�c'p-cl number Page number
Johnson 26-18-36-200-001.955-024/WATER TOWER PLACE 33 D-27 `I�v miler
1�hJ''�\
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?
307700.00 225000.00 200.000.00 Y Yes ❑ 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: the property in question:Annually Assessed
p
Veal Property-❑Annually Assessed---_
-- ----—------ - - ---- -- - ---- -- - I].L;1 -
Mobile Home(IC 6-1.1-7)Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union
^
0
\Address of mortgagee or contract seller(number and street,city,state,and ZIP code) r'73
7n
F��
4405 Theater Drive.Evansville.IN 47715
Name of assignee or other owner or holder of mortgage
sthatAvs44
%t'Zcc> a`'TY Au
Address of assignee(number and street,city,state,and ZIP code) GM
gON COt1t�
Does applicant own propert in ny If yes,what county? What Taxing District? Has this deduct n een requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes 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 tract 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)th is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Auditor County 1 Date(month,day,year)
'f�1�c `�\��� 2,3 ‘ 21
1/We certify under the penalty of perjury that the a'+'••e and foregoing information is true-And correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementione roperty on date application is filed. _ _ _ _ _
S' n to owner full nab@) / ( C ^ _ Date(month,day,year)
Full resident ddress of applicant(humber and street.city.state.;VIP code)
9655 5 Watertower Ct.Haubstadt.IN 47639
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 CONTRAC �^IN EDNESS
rr,
Name of applicant Name of or co t er -1-1 "1,Date filed(month,day,year) unt of inde do y Taxing Distric `gym
� w
2• 3-el-- -2-1 Q rr, 3 1 d - •
Key number/leg ^scrI. J 6—200 — 0 01 - 5 3-- � -J ' ^ 11
Signature of Count Auditor only ecorder County ,_ a/.Abate(month,d yea