HomeMy WebLinkAboutMortgage_Kitch STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
County Township Year
'c FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709(R14/1-20) Gibson Johnson 2022
Prescribed by Department of Local Government Finance
C
...-------- —- 1 . 2021 File Mark
INSTRUCTIONS:To be filed in person or by mail. CotwV1121a l
Form with:
Filing Date: 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 County Auditor
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. Eil County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Alan Kitch
Taxing District Key number/legal description Record number Page number
024 26-18-36-300-002.104-024/Hunters Crossing 2 Lot 15,Gibson County 2-0Z460001.....
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the op cant the sole
assessment date,current year assessment date,current year date of application legal or equitable owner?
228,560.00 RI Yes El 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
Name of mortgagee or contract seller F lia roperty El ii,s,,inonbretoArnssee7ti.1_7)
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) DEC 1 4 2.02-1
4401 Theater Drive,Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
tt)24,C4i1“:" :
Address of assignee(number and street,city,state,and ZIP code) GIBSON Gatii,A 1
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been req ested If yes,state amount of deduction
other county o pro for ,—,
in Indiana? gYes Ll No (ickystio.,60 cVI ns- cur perty LJ rent year? Yes o
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract ihde tedness 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.
20 20
COUNTY AUDITOR
Deduction approved in the amount of:
4
20 20 0 20 20
Signature of County Auditoi\- County ‘ Date( crnth,Lay year)
i/We certify under the penalty of perjury that the above and foregoing information is Oe and correct and that the applicant is a sident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Si nature(o r' ull name) Date(month,day,year)
December 3,2021
ull res nt appli ber and street,city,state,and ZIP code)
10282 South Pheasan un,Haubstadt,IN 47639
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year)
December 3,2021
Address of authorized person (number and street,city,state,and ZIP code)
The nanaltia for narinn,can include imnrisnnment un in twn and a half years and a fine not to exceed slanno