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Mortgage_Armstrong ..4r -�. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year V' 4 FOR DEDUCTION FROM ASSESSED VALUATION /(� c r�� x/:� RECEIVEC� Gibson t 1 / 2," 2„C State Form 43709(R13/10-15) �../C..� Prescribed by Department of Local Government Finance INSTRUCTIONS: ►it ��`s �p^� r DEC 2 8 2021 File Mark To be filed in person or by mail. 1 4�'0, r�V "��1 • F d with: Filing Dates: 1) Real Property:Must be completed nd dated i t e calendar year for which the deduction is sought. Must be filed or postmarked with th County Auditor or County Recorder of the county where the property is County Auditor located on or before January 5 of the immediately succeeding calendar year. County Recorder 2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county where the property is located during the twelve(12)months before March 31 of each year the deduction is sought. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Kara D. Armstrong Taxing District Key number/legal description Record numbe Pte�rygnb Princeton 26-12-07-402-001.943-028 2-- OYY�tyy(t Assessed value of real property as of LL Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the so,e assessment date.current year assessment date,current year • date of application legal or equitable owner? $62,225.00 a Yes ❑ 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 FILE' al Property ❑ Annua lly Assessed 6r1.1-7) Name of mortgagee or contract seller Evansville Teachers Federal Credit Union JAN 0 2022 Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 4401 Theater Drive, Evansville, IN 47716 1 �,f�� Name of assignee or other owner or holder of mortgage `7h�[.- ....d a .[AMrZ '.-,,+..., GIBSON COUNTY AUDITOR Address of assignee(number and street.city,state,and ZIP code) Does applicant own property in any If yes,what county? What Taxing District? Has this deducti en requested If yes,state amount of deduction other county on property for in Indiana? ❑Yes Ei No current year? Yes El No A person is not entitled to this deduction unless the person has a balance on the person's mortgage o con 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 in the amount of: 20 20 20 20 20 20 20 Signature of County Auyii(gf ,.-}/ �Sabove County \3�� Pate({n n), „mar) ^ I/We certify under the penalty of perjury that and foregoing information is a and correct and that the applicant a r i'dee/n�tt of Indiana and owner/contract buyer of the aforementioned property on date application is filed. Sig at e(owner's f ame) A Date(month,day,year) t - r� 12/27/2021 Fui r sident address of applicant(number and street, ,state,and ZIP code) 318 S. Stromont Ave, 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. RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Name of applicant Name of mortgagee or contract seller Kara D.Armstrong Tea chers Federal Credit Union Date filed(m nth,day.year Amount of inddns� r�1 Taxing District Pl �" `Z2 1 g Z rIGtT� Princeton • Key number/legal description ">`Z` e 3 l"\Li 26-12-07-402-001.943- JAN 0'5 2022 g Date�m lai y,�ar_ r� Si natur of Coun At. t / rder, . County'0 JJyy////'' `f►-/O``'�'f ,_ x-T\ 'y GIBSON COUNTY AUDITOR