HomeMy WebLinkAboutMortgage_Finnerty (2) ;� 4a • STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C unty Township Year
,sr-:=` o FOR DEDUCTION FROM ASSESSED VALUATION'` Sty;
ill
ii ;1.°,)3. State Form 43709(R14/1-20) ,;,A. sorb2021
`i,= Prescribed by Department of Local Government Finance File Mark
roes
INSTRUCTIONS:
To be filled in person or by mail. Form filed with:
Filing Dates: Form must be completed 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 Ill
property is located on or before January 5 of the calendar year in which the property taxes ae first due County Auditor
and payable. ❑ County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Charles T. Finnerty and Anna C. Finnerty
Taxin District Key number/legal description 26-19-31-303-000.597-009/201 W. Haub Re ord tuber Page number
4, St., Haubstadt, Indiana 47639 p �' 7 U�
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?
$141,000.00 tla'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: Is theumperty in question: Annually Assessed
a eal Property ❑Annually Assessed
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)
-9
4401 Theater Drive, Evansville, IN 47715 AlVe4- 4 33YY
Name of assignee or other owner or holder of mortgage ,2-02\
Address of assignee(number and street,city,state,and ZIP code) FER
Does applicant own property in any If yes,what county? What Taxing District? Has this deductio been request d f gaifq gqibt)rlt'of
other county on property for O
in Indiana? ❑ Yes ❑ No current yea? Yes ❑�S
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
Si tureof Count Auditt� County Date(month,day, ear)
Si
�'Ua#/IUGS f r so�2_ �/h6/2024
I/We certify under the penalty ofury that the above nd foregoing information is true and correct and that the applicant is a resident of Indiana
and owner co• ract buyer o e a orementioned property on date application is filed.
Signatu - f nam ) Date( onth,Iday,year)
7 4,Prtk 1 96 10A
Fu!rest•ent address of ap icant(number and street,city,state,and ZIP code)
201 W Haub St., 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 penury can include imprisonment up to two and a half years and a fine not to exceed$10,000.