HomeMy WebLinkAboutMortgage_Kruse (5) *5-7 Vic, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
J' ' " = G�OYI 2021
: ;,;jr e-." State Form 43709(R14/1-20)
+,z:: 's'� . Prescribed by Department of Local Government Finance File Mark
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INSTRUCTIONS:
To be filled in person or by mail. For 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
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)
Shawn Kruse and Jessica Kruse
Ta • District Key number/legal description 26-22-14-300-001.022-024/ Record number Page number
ssed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
a essment date,current year assessment date,current year date of application lega o equitable owner?
$338,500.00 Yes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with who
If name on record is different than that of applicant,indicate below: I he property in question: Annually Assessed
Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union PILEL)
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 own older o o rtgag n4-04 �' jedia4 / g�' Fe 1 2021*
Address of assignee(number and s t,city,stat ,and ZIP code) ! e Y 9
mason
ez
Does applicant own property in any If yes,what county? What Taxing District? Has this deducti n been requesiezerieue
Q �
UNTy ft amount of
other county on property for d
in Indiana? 0 Yes 0 No current year? Yes 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c trac 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
Signat o GountyAudito s n.,County Date(month,day,year)
i�� `� 2--/9•aoao
1 1 W certifyunde the altyoat the above and foregoing information is true and correct and that the applicant is a resident of Indiana
pe P O rY 9 9
and owner/contract buyer of the aforementioned property on date application is filed.
Signature owner's f Yname) Date(moth,d y,year)
x al Io190a1
Full rest of applicant(number and street,city,state,and ZIP code)
12859 S Scottsdale Dr., 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.