HomeMy WebLinkAboutMortgage_Kennard '•A tt'"Q. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
7= ) FOR DEDUCTION FROM ASSESSED VALUATION Gibson Patoke '7402
�,i,,.• State Form 43709(R14/1-20) RECEIVED t1 �,f�
e. Prescribed by Department of Local Government Finance DECile Malik
INSTRUCTIONS: To be filed in person or by mail. �0
t- ` D 2 U PM .r filed with:
Filing Date: Form must be completed and dated in the ca dar year for which the deduction is sought. Iv County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the prope
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. r--'.•% ounty Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Charles Andrew Kennard and Heidi D.Kennard Record number P um er
Taxing District'"" fj Key number/legal description �"V ^t \ I m er
Patoka t �"S 1, • 26-11-14-100-001.606-027/Pt NW NW 14-2-11 G
Assessed value of real prope ty as of Mortgage/Contract indebtedness unpaid as of dMortgage ate of application Contract indebtedness unpaid as of Is s the hl applicant tee sole
assessment date,current year assessment date,current year `,�
er?
$231,080.00 XJ Yes ❑ No
If n46 what is h 0 indicate with whom ///
If no, is his/her exact share of interest?
If owned with someone other than spouse,
If name on record is different than that of applicant,indicate below: 1 Is a property in question:Annually Assessed
1 L FJ Real Property ❑Annually Assessed
((( Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller DEC 2 9 2021
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theatre Drive, Evansville, IN 47715 tt/ ai:Z` ,-�J J4.'r`'
Name of assignee or other owner or holder of mortgage GIBSON COUNTY AUDITOR
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any 1 If yes,what county? What Taxing District? Has this deductio?7+�1b n requested If yes,state amount of deduction
other county ❑Yes
�Q I on property for
in Indiana? c > i�Yes CI No
p.1
NO current year? v'
A person is not entitled a this deduction unless the person has a balance on the person's mortgage or n act 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 20 120 20 20 1 20 120
County Date C1�, ,yearl
Signature of County Audipl'^r Alp.:.'�, C7 f `J-"'AJ
,,�nl 11 ,.1�,,, Gibson
I/We certify under penalty of perjury that the abo foregoing information Is true and correct and that the applicant is a re ident of Indiana and
owner/contract buyer of the aforementioned property on pplication is filed.
• Date(m th,d r�year)
Signa o r' e) 1 1- lc 2/
Full resident ad applicant(number and street,c ,s ate,an IP code) ff l
766 S White Church Road, Princeton, IN 47670 I 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 imorisonmenf nn to t.•r•nr+rt a half vearc anti a fins not to nvrwwrl a in nnn