HomeMy WebLinkAboutMortgage_Maier (2) .M� *•,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION , O L �Y 2
State Form 43709(R14/1-20) ,...S0
Prescribed by Department of Local Government Finance \
File Mark
INSTRUCTIONS: To be filed in person or by mail.
Form fll d with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 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. County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side) �/,
Maier, John R/Annette M 1 1 —n `1
Taxing District Key number/legal description 2 6 ZZ 1,1 _up --O t7 Z_. ^-�"� Record number Page number.
Johnson PT SE 12 4 11 5.00 AC D-9 " 41 -A ��-C>2-2- l---"'l -
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?
383,800 93,700 93,700 RIYes ❑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
R1 Real Property LI Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 Drawer NO
Name of assignee or other owner or holder of mortgage Cara
`� O• •O...... •••.••
Address of assignee(number and street,city,state,and T '' '' a,�a ra NO. '`� •-
Does applicant own property in any If yes,what county LT I•u�LLic�e� Has this deduction en requested• It yes,f _.• •. aduction
other county on property for
In Indiana? El Yes ®No current year? Yes ❑No
A person is not entitled to this deduction unless the parso 4beac h the person's mortgage or ntr t indebtedness that is recorded in the county
recorder's office(including any home equity line of credit t at/s recor ed in the county recorder's office)that is the basis for the deduction.
f �C�D,,--�U��NlT�Y AUDITOR
Deduction approved in the amount of: /hrwt%,.....a a..b'YGLr6z.Tt4)
GIBSON COUNTY AUDITOR
20 20 6:-. 1.)
20 20 20 20I20
Signature Of Go yAu 'tgr ` County 30� Date(m $�Y./ems 2 2 .
I/We certify under the penalty of-perjury that the above and foregoing information is t e and correct and that the applicant s a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
x Signature(owner's full
—naam►ye)) Date(month,day,year)
Rill resident address of applicant(number and street,city,state,and ZIP code)
612 W 1200 S, 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)
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