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Home My WebLink AboutMortgage_Richeson (3) • .M;.T.h4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year .-_ ic. FOR DEDUCTION FROM ASSESSED VALUATION 'Y State Form 43709(R14/1-20) Gibson'- Ft >�eie.::•� oQS ?A 21 -•--''d Prescribed by Department of Local Government Fin ce INSTRUCTIONS: To be filed in person or by mail. Ofs1 1' I �W 1 2.,E-3•`Z,-'z. File Mark ��" 1111��, II Form filed with: Filing Date: Form must be completed and dated in the calendar year for which the ddduction is sought. m 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. 0 County Recorder See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Kimberly K. Richeson Taxing District Key number/legal description Record number Pa ember Francisco 26-13-20-101-000.182-005 9-0 2-1k_SC Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appli nt the sole assessment date,current year assessment date,current year date of application legal or equitable owner? $172,000.00 ZYes ❑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 IZI Real Property 0 Annually Assessed Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Evansville Teachers Federal Credit Union D 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 FEB 2 3 2021 Address of assignee(number and street,city,state,and ZIP code)Does applicant own property in any If yes,what county? What Taxing Di a N CO r p k a requested If yes,state amount of deduction other county - O in Indiana? Dyes ®No current yea Yes ❑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 County Auditor County \ Date(month,day,year) r��a GSO0 ' 2. 23 •11°ZI I/We certify under the penalty of perjury - the above and foregoing information is true and correct and that the applicant is a resident of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Sign lure(owner's full name) Date(month,day,year) �� — 02/18/2021 F II dent ad re of applicant(number and street,city,state,and ZIP code) 404 E Main St., Francisco, IN 47649 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 -•••ag-. o ract seller Kimberly K. Richeson -4 s ille 1-.:c er Federal Credit Union Date filed(month,d y,year) Amount of indebtedness * ( ing District .2_3 • 2- \ $172,000.00 Francisco Key number/legal description FEB 2 3 2021 26-13-20-101-000.182-005 242\ -13 6 Signature of County Auditor/County Recorder oun a. 1a Date(month,day,yrearr)) q_...) "�^" f;IR OUNTY AUDITOR l4