HomeMy WebLinkAboutMortgage_Schmitt (19) �z -�. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
.,it-. FOR DEDUCTION FROM ASSESSED VALUATION
'.- :, ( �`�� �' r� a�� 2021
State Form 43709(R14/1-20) ,��)
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___._ - Prescribed by Department of Local Government Finan ` File Mark
INSTRUCTIONS: •e. \(J V\t �l/" 'i
To be filled in person or by mail. Form filed with:
Filing Dates: Form must be completed and dated in the calendar yea ich the*deduction is sought. CI
Must be filed or postmarked with the County Auditor or C my Recorder of the county where the County Auditor
property is located on or before January 5 of the calendar year in whi.h 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)
Logan Schmitt and Dakota R. Schmitt
Taxing District (---y-2,,,C , Key number/legal description 26-18-36-300-002.723-024/1331 W Chukar Record number Pag umber
"� Holw. Haubstadt, Indiana 47639 (RC;��.- iI
Assessed value of real property 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 legal or equitable owner?
$283,920.00 0 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 the property in question: Annually Assessed
x❑ Real Property 0 Annually Assessed
r � Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller T i ■
Evansville Teachers Federal Credit Union 1�1 1 L
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 ,l A L 0 6 2022
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP Cedk „1/i4 e�vnd-)
r;IBS N COUNTY AUDITOR
Does applicant own property in any If yes,what county? I What Taxing District? Has this deducti een requested If yes,state amount of
other county on property for deduction
in Indiana? ❑ Yes 0 No current year? Yes 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or con ct' debtedness 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 u i M County Date(7 /dly,_year)2 r�
I/We certify and th' enalty of penury
t the above ar foregoing information is true and correct and thall the pplicant�ic' isO a resident of Indiana
and owner/contra uyer of the aforementioned property on date application is filed. 1p d
Si9natur wner's full names) t Date a I- ay.-crz_1
Full resident a ress of applicantli (number/ and street,city,state,and ZIP code)
1331 W Chukar Holw.,Haubstadt, IN 47639
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)