HomeMy WebLinkAboutMortgage_Turner xTu} STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS ounty Township I Year
' FOR DEDUCTION FROM ASSESSED VALUATION ITQ°
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� 4i Yv 2021
State Form 43709(R14/1-20) File Mark
Prescribed by Department of Local Government Finance
INSTRUCTIONS: Form filed with:
To be filled in person or by mail.
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 County Auditor
property is located on or before January 5 of the calendar year in which the property taxes ae first due 0 County Recorder
and payable.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Alex Turner
Taxing District ``� Key number/legal description 26-13-20-101-000.312-005/107 E Wood St. Record number Page number
Francisco, Indiana 47649 A/" 95t9/
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is legal applicant
thee sole)
assessment date,current year assessment date,current year date of application El Yes 0 NO
$84,900.00
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
Is the property in question: Annually Assessed
If name on record is different than that of applicant,indicate below: O Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Namn of mo ce or er se Cr FILED
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 /
Name of assignee or other owner or holder of mortgage DEC 1 5 2021
Address of assignee(number and street,city,state,and ZIP code) !/
What TaxingDistrict? Has this deef�yy 4-a yes,state amount of
Does countycant own property in any If yes,what county? on property-fb offii4UDITO i-duction
otherd current year? ►, Yes 0 No
in Indiana? ❑ Yes 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or con ra• 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 I 20 I 20 I 20 I 20 I 20 I 20
Signature of oun Aud'tar
County Date(month,day,year)
I/We certify under the penalty of perjury that 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. (Date(month,day,year)
Signature(owner's full narrip t` I Zh,1!24Z�
C�s�.,L '''—7__ --- --"__._
Full resident address of applicant(number and street,city,state,and ZIP code)
107 E Wood St., Francisco, IN 47649 Date(month,day,year)
Person authorized by duly executed Power of Attomey 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.