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HomeMy WebLinkAboutMortgage_Hoefling (4) „ �**A i,q; STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year wk//' o FOR DEDUCTION FROM ASSESSED VALUATION ,j L,n,e`/x. State Form 43709(R14/1-20) \,SD'� ©�6 2021 to-'-.`•” .r Prescribed by Department of Local Government Finance File Mark I®IB 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 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) Alex Hoefling and Allison Hoefling T g tri t Key number/legal description 26-19-19-204-001.333-026/ Record number Page number 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 leg o equitable owner? $175,000.00 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: s e 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 Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 4401 Theater Drive, Evansville, IN 47715 IPILED Name of assignee r er o er or ho r of od a e g �1a le_JQ,�' FDA a FEB l 9 ?Q �' Address of ass n e umber and street,city,state,and P code) 4/ Does applicant own property in any If yes,what county? What Taxing District? Has this deductio b1#•:(Di c,,Jf yes,state amount of other county on property fo '4 `- uNry Ecd'ugt o ) in Indiana? 0 Yes 0 No current year? Yes ❑ No UDtr0R A person is not entitled to this deduction unless the person has a balance on the person's mortgage or cont •c • debtedness 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 of oi+nt udito�I County Date(month,day,year) / JJ . . . . 'z - aDa. ) if under tie penaltyofd that the above and foregoing information is true and correct and that the applicant is a resident of Indiana I/We edify perj ry g g pp and owner/contract uyer of the aforementioned property on date application is filed. Signature(owner's full e) Date(moreh,day,year) Full resident 'dd ss of applicant(number and street,city,state,and ZIP code) 7963 S 40 E, Fort Branch, IN 47648 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.