HomeMy WebLinkAboutMortgage_Cashmer (2) ---__
_____....f STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year' FOR DEDUCTION FROM ASSESSED VALUATION
Gibson Montgomery 2021
�;� State Form 43709(R14/1-20)
it Prescribed by Department of Local Government Finance ���1 File Mark
12 � 2� Form filed with:
INSTRUCTIONS: To be filed in person or by mail. �� ❑
Filing Date: Form must be completed and dated in the calenda County Auditor
ar for which the deduction is sought. 0 CountyRecorder
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.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Aaron Michael Cashmer Record number I P ge err
Taxing District Key number/legal description G- 1
Montgomery 126-17-09-200-005.147-021 /Lot 20 Winyard Place
Is
Assessed value of real property as of
Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant
atte o
$131,200.00 sole
eeAAuu
er?
assessment date,current
of application ent year assessment date,current year Yes CI No
50.00 If owned with someone other than spouse,indicate with whom
If no,what is his/her exact share of interest?
Is th property in question:Annually Assessed
If name on record is different than that of applicant,Indicate below: Real Property ❑ Annually Assessed
Name of mortgagee or contract seller
FILED
obile Home(IC 6-1.1-7)
First Federal Savings Bank DFC of mortgagee or contract seller(number and street,city,state,and ZIP code) DI'C 0'2 2021
5001 Davis Lant Drive, P.O. Box 1111,Evansville, IN 47706-1111 I
Name of assignee or other owner or holder of mortgage 47,240,1-441 a. q X� '
Address of assignee(number and street,city,state,and ZIP code) GIBSON COUNTY AUDITOR
Does applicant property in any yes,what county? Taxing District? Has this deducti b n requested If yes,state amount of deduction
other county
If Whaton property for Yes C] NO
Yes ❑ NO current year?
in Indiana?
rA erson is no entitled toecorder's offict e(includingthis deducton unlessany homer equity l netof reditothat is ar corded in the county recorder's office tha balance on the person's mortage or n aistthe basis for the deduction indebdness that is �ed in the county
COUNTY AUDITOR
Deduction approved in the amount of:
20
20 dnth t
day ar)2,,�
20 20 20
I 20 I 20 I •Z
Signature of County Auditpr_ I oat
County Gibson v
I/We certify under penal' o •- * that the - •e and foregoing information is true and correct and that the applicant is a resident of Indiana and •
owner/contract buye • th, :for, ntioned property on date application is filed. Date(month,day,(�ear)
Signature(owner's MI n- e)
Full resident address o applica u ,-
": d street,city,state,and ZIP code)
9626 W Winyard P1,Ow- Ille, IN 47665 Date(month,day,year)
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7
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 NONTcRAcC9 INDEgee or BTEDNESS
Order No. f Name of applicant -r-�aSEE:
Aaron MelCashmer u T T1, 1L
Date filed( , ✓ Y Oleo Z $131,200.00
Key number legs d05. 47 F REG O 20�� Date(month,day,year I q.�y�
26 17-09-2Q0- 05. 47-021 /Lot 20 Winyard Place Coun y 1 JV
son
Signature of County Auditor/County Recorc►@r_ ` SOM
d1�w GIBSON COUNTY AUDITOR