HomeMy WebLinkAboutMortgage_Kidd (5) .te 4 ,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township
g FOR DEDUCTION FROM ASSESSED VALUATION Year
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�_ .: State Form 43709(R14l1-20) RECEIVED Gibson
v rein;,,;-4, Prescribed by Department of Local Government Finance
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INSTRUCTIONS: To be filed in person or by mail. tilt I L1 File Mark
I Form filed with:
Filing Date: Form must be completed and dated in the c lender ear fvhich the deduction is sought.
❑ 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)
Christopher R. Kidd
1 number
?a
Princeton 26-11-12-301-000.449-028 El (y la-
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?
$181,000.00 0Yes ❑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
®Real 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)
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage FEBQ
2021
Address of assignee(number and street,city,state,and ZIP code) D Q7'i-.-
Does applicant own property in any If yes,what county? What Taxing DistriV y.srig diii4gelmerdequested If yes,state amount of deduction
other county L fpr
in Indiana? ❑Yes ®No GIBSON AV-'' r3UE ❑No
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
/
Signature of CoouunntAuditar_ County ` Date(month,day,year)
W G_JAIJt _ �30q .•.. . , 2.. 1'3- ?.-�2- I
I/We certify under the penalty o perjury that the above and foregoing information is rue and-correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Sig ,e(own is I I name) Date(month,day,year)
/2, ,� 02/11/2021
Full resident a dress of applicant(number and street,city,state,and ZIP code)
111 S. Kensington Dr., 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)
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 CONTRACT INDEBTEDNESS
Name of applicant Name_of mortgagee or contract seller
Christopher R. Kidd �i ,- Teachers Federal Credit Union
Date filed(month,day,year) Amount of i..t-bted s, Taxing District
t Vg -1L9 2-k - $181,000.00 - Princeton
Key number/legal description FEB 18 2021 \
26-11-12-301-000.449-028 2
Signature of County Au Itor(Co ecorder Coun Date(month,day,year)
GIBSON COUNTY AUDI i OK