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HomeMy WebLinkAboutMortgage_Elpers (34) "-, a. T CountyTownship.„--. Year '""'4. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS p..---. ~,1? FOR DEDUCTION FROM ASSESSED VALUATION RECEIVED Gibson ni 2022 „ j State Form 43709(R14/1-20) Prescribed by Department of Local Government Finance • JAN 1 2 WI File Mark INSTRUCTIONS: To be filed in person or by mail. t rn`^'Q' t V \ Form filed with: Filing bate: Form must be completed and dated in the calendar year for which the deduction is sought. 0 County Auditor Must be filed or postmarked with the County Auditor or County Recorder of the county where the property Er County Recorder is located on or before January 5 of the calendar year in which the property taxes are first due and payable. See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Logan Elpers and Erica Fuhs �. ^ Keynumber/legal description Record n51tnbbeer Page tulmber Taxing District ', t "'7.„�'��`GG))...^, 111 U �""" r� V 26-19-18-304-000.690-026/Holcomb Add Lts 61, 62,63 Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is theal applicant r equitable owner? the sole assessment date,current year assessment date,current year date of application ram, $206,010.00 xu Yes ❑ No If n67 what is h 0 t If no, is his/her exact share of interest? If owned with someone other than spouse,indicate with whom ■ ET) Is e propertyInquestion:Annually AssessedIf name on recortl is different than that of applicant,indicate below: IL .�■i..—,('. RealPropertyAnnuallyAssessedMobile Home(IC 6-1.1-7) Name of mortgagee or contract seller JAN N 1 i 2'LQ'L2 Evansville Teachers Federal Credit Union JA Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 4401 Theatre Drive, Evansville, IN 47715 J%' Name of assignee or other owner or holder of mortgage 1sf�a�' f 1' r`'''utTOR GIBSON 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 n een requested If yes,state amount of deduction other county on property for Yes CI NO in Indiana? ❑Yes NO current year? A person is not entitle to this deduction unless the person has a balance on the person's mortgage or on 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 20 20 20 20 • • ,'��{f'� County Date month, a yeah Signature of Gounty�ycli or (• (J^' ` '! l ` L,^ �!)/(�,� r y t {/'�.S Gibson I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a r sident f Indiana and owner/contract buyer of the aforementioned property on dat applicati Is filed. frr�'1t Date mon d,y,year) (owner's full na I // "r 6 "-- Full r ident a ress of applicant(number and street,city,state,and ZIP code) /th,((( 900 E Locust Street, Fort Branch, IN 47648 ( pate(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)