HomeMy WebLinkAboutMortgage_Gilmore (2) J. g. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
yp _ FOR DEDUCTION FROM ASSESSED VALUATION
r-- ; State Form 43709(RI1 6-09) g Gibson -F iaseton 2021
s% �' Prescribed by Department of Local Government Finance RECEIVED W-S,p
tale 11
INSTRUCTIONS: i1e.,,A )i e_ FEB 10 2021 File Mark
To be filed in person or by mail.
Filing Dates: 1.) Real Property: Must be completed and dated in the 4-near year for which the deduction is sought. For filed with:
Must be filed with the County Auditor or County Reco :er of the county where the property is located
on or before January 5 of the immediately succeeding calendar year. County Auditor
2.) Mobile/Manufactured Home not assessed as real Property: Must file with the County Auditor of the County Recorder
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)
* Richard D. Gilmore and Melissa S.Gilmore
Trif District Key number/legal description f / Record number Pa e,n�}mber
vas * PT NW 16-2-10 1.72 AC 26-12-1b-100 000. " 'n- - , L\ �jbb
Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness Is the applicant the sole
March 1,current year as of March 1,current year. unpaid as of date of application legal or equitable owner?
* $0.00 * $200,000.00 * $Se99 - 0�000 11 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
0 Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller ILED
* Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city, state, and ZIP code)
* 4405 Theater Drive,Evansville, IN 47715
Name of assignee or other owner or holder of mortgage FEB 10 2021
Address of assignee(number and street, city, state, and ZIP code)
Does applicant own property in any other In yes,what county? What lt$1 tF NTY Pt1ll12ltl deduction been requested on property
county in Indiana? for current year?
0 Yes • ,)No Yes 0 No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Auditor, r\ . County r,k Daje(m1 ,ddaykyear)
VVCA 1/We certify under the penalty of perjury that the a•ove and foregoing information is tcu and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned propertrtyyyoondate application is filed.
a ure(ownerfull e) _ y I �/�� Date(an day,year)
Full-resident address of applicant(number and street, oily,slate,and ZIP code)
* 1915 E.State Road 64,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)
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant 'M_1 Maus Zclu\ftlek
� Name of mortgagee or contract sellern.Date filed onth, y, ar)�1 CAS Ant ofindebtedness Eco �O� Taxing Distlrict����
Key number/legal desc' t' n
t -a--1 b-I OO'oo-0 it. —'029- .
Signature of County Auditor/County Recorde�Qjt 1 .. County __ 11°L\c'3 III
u- m th,.Sta�,,y 71
FEB 10 1,.., _''s 6 Err) 2021 0
pir . 1:1
Statement of Mortgage or Contract Indebtedness / c za.d C2. J/k t:,:nd) IN2120359
GIBSON COUNTY AUDITOR