HomeMy WebLinkAboutMortgage_Fetscher 0STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
�� t:) FOR DEDUCTION FROM ASSESSED VALUATION 2021
�� - State Form 43709(R14/1-20) , - Gibson 0
Prescribed by Department of Local Government Finance
/'GCS f_ ,, 7D71 File Mark
INSTRUCTIONS: To be filed in person or by mail. ��✓✓ Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. Q 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)
Robin Fetscher and Steve Fetcher
Taxing District fff Key number/legal description Record number Page number
sville
01it 28 Q("_V 26-11-31-300-004.692-021 /CURTIS LAKE EST SEC 2 LOT 2- (( '�`
ea- 4
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 le al or quitable owner?
$0.00 $312,000.00 Yes 0 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: .1 ?,' p Is t property in question:Annually Assessed
ED
Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller l� ry0��
Heritage Federal Credit Union DE O,V G
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
5388 Old State Road 66, Newburgh, IN 47630 7,1:7 )
Name of assignee or other owner or holder of mortgage - AUDITOR
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in ny ' If yes,what county? What Taxing District? Has this deduction n requested T If yes,state amount of deduction
other county ❑ Yes�J,t—dam on property for Yes El No
in Indiana? No current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or ract 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 �'�O r^� County ia),e( opth,day,yeai-I
IIvA.�y`J�` �-S Gibson LJr (Q r)v`!✓�
I/We certify under penalty of perjury that the above an egoing information is true and correct and that the applicant is a re ident of Indiana and
ow contract bu er of the aforementioned property on date application is filed.
Sig to a owner's full " (,,_ Date(month,d y,year)
Full resi ent address of applicant(number and street,city,state,and ZIP code) f
6364 W.Stalheim Ave., Owensville, IN 47665
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)