HomeMy WebLinkAboutMortgage_Alexander (3) R•*. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
r``' `, FOR DEDUCTION FROM ASSESSED VALUATION r^�
:1 State Form 43709(R14/1-20) C) ,)Q`� Q Gr� 2021
S„\y4 �.r" Prescribed by Department of Local Government Finance File Mark
INSTRUCTIONS:
To be filled in person or by mail. F rm with:
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
and payable. ❑ County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Cali Danae Alexander
Taxing District 2--SKey number/legal description 26-12-18-201-001.182-028/ Record number Page number
.2o a ► to 7_23-
Assessed value or real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the a plicant the sole
assessment date,current year assessment date,current year date of application legal equitable owner?
$65,656.00 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: Is t property in question: Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union F I LED
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 4q 2
Address of assignee(number and street,city,state,and ZIP code) DEC G 2021
Does applicant own property in any If yes,what county? What Taxing Distr S 24€4, 9�'t • e • en equested If yes,state amount of
other county FF1Ivv�D deduction
;Ir3S01� a ITRe ❑ No
in Indiana? ❑ Yes No curren year.
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or co tract 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 �� GCounty \ Date(month day,ye r)
�'y^�IIV"�✓\ \WMr\~S G� SGJ e\ ,2-\ -2-- "La 2-1
I/We certify under the penalty of perjury that the above and egoing information is true and correct and that the appli nt is a resident of Indiana
and owner/contract buyer of the aforemention d property on date application is filed.
%arr7mFull resident addresss of cyti
applicant-(-nuu`m\bber id st y,state,and ZIP code) '�l`jj
1020 S Seminary St., Princeton, IN 47670
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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10.000.