HomeMy WebLinkAboutMortgage_Hopkins d;cz,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
ir• , r FOR DEDUCTION FROM ASSESSED VALUATION Gibson Pateka 2021
ter;,:,,.,, State Form 43709(R14/1-20)
Prescribed by Department of Local Government Finance RECEIVED 1`"�`,
\ File Mark
INSTRUCTIONS: To be filed In person or by mall. \-- ,Q�^Ol'\ ,, 1 DEC 2 0 2021 Form filed with:
Filing Date: Form must be completed and dated in the Galen /year for which the deduction Is sought. gi 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)
Jeffrey Joe Hopkins and Joyce Ann Hopkins and Kyle Hopkins
Taxing District"—, Key number/legal description d�+mber ga u eoi
Patoka t,.t 26-11-15-101-000.894-027/Lt 86 Sandy Ridge Estates Sec B 2-130 '� �-/-.)I G)t- ICJJ'
Assessed value of real props 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 lega uitabie owner?
$137,500.00 $125,000.00 Yes 0 No
If no,what is his 1 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: F IL ED
I Is' property In question:Annually Assessed
Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union �EC 2 9 2071
Address of mortgagee or contract seller(number and street,city,state,and ZIP code
4401 Theatre Drive, Evansville,1N 47715
Name of assignee or other owner or holder of mortgage y�� tQ�r[ i. vMk LA. '
GIEf g pit COUNTY AUDITOR
Address of assignee(number end street,city,state,and ZIP code)
Does applicant own property In any If yes,what county? What Taxing District? Has this deductio en requested If yes,state amount of deduction
other county ❑Yes ❑ NO on property for Yes NO
in Indiana? current year? C
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or on�'
t ct 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 to the amount of: .
20 20 20 20 20 20
Signature of County o ( County DMA( de ,),(~ GibsonI I We certify under penalty of perjury that the a coand foregoing Information is true and correct and that the applicant Is a reai0902,21,0
ant of I diana and
owner/contract buyer of the aforementioned property on date application Is filed.
ture( er's name) _ I Date(month,day.year)
F re ant a r f applicant(n mber and street,city,state,and ZIP code)
2603 W Jil Drive, Princeton, IN 47670
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 bate(month,day,year)
Address of authorized person(number and street,city,state,and ZIP code)
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