HomeMy WebLinkAboutMortgage_Smith (26) d."`;:_'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
s ,� FOR DEDUCTION FROM ASSESSED VALUATION Gibson Montgomery 2022
tip;.. , State Form 43709(R14/1-20) RECEIVED
reel. Prescribed by Department of Local Government Finance
y 20 File Mark
INSTRUCTIONS: To be filed in person or by mail. O JAN 22 For filed with:
Filing Date: Form must be completed and dated in the cale r year for which the deduction is sought. County Auditor
Must be filed or postmarked with the County or 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)
Richard A. Smith and Meghan M. Smith
Taxing District Key number/legal description Record nurn eel (7 nygnber
Montgomery 26-11-17-400-004.597.021 /Lot 2 Couch Woods Subdivision 9-CD r2 (��(
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appli nt the sole
assessment date,current year assessment date,current year date of application legal or e table owner?
$108,800.00 $108,000.00 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: "�" r� �6 Is t property in question:Annually Assessed
Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller JAN 2 0 2022
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theatre Drive, Evansville, IN 47715 �]
Name of assignee or other owner or holder of mortgage
/'lGtcli.. '.e i`l „!�:`�-3.,:.
GIBSON COUNTY raL+..+TOR
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Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in y If yes,what county? What Taxing District? Has this deducti en requested If yes,state amount of deduction
other county on property for Yes El NO
in Indiana? El NO current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c n 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 s the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County( udit r County Date nth,1Y.Ye
I/We certify under penalty of pe that the above and foregoing information is true and correct and that the applicant is a res dent oIndiana and
owner/contract buyer of ther aforementioned property on date applicati n Is filed.
Signatures ll narfrajt 1 4.
//,A,_ Date no h Y. a
Ful r si a dress of applic nt(number and street,city,state,and ZIP code) /
1050 S Old State Road 65, 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 nanaltiec for rwarirrry elan re.+r...+o.....,.,,.............,...,........».+........r..__—..-.-r..a......-.*s...o,...om.i vin ruin
Exemption Receipt 21-1182