HomeMy WebLinkAboutMortgage_Kidd (3) ,e1114-1 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS okounty Township Year
:7,141-1-1 ; FOR DEDUCTION FROM ASSESSED VALUATION rr m
,_,)4"� ID 2022
i .�1 State Form 43709(R14/1-20)
Prescribed by Department of Local Government Finance
File Mar
INSTRUCTIONS:
To be filled in person or by mail. Fo fil with:
Filing Dates: Form must be completed and dated in the calendar year for which the deduction is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the County Auditor
property is located on or before January 5 of the calendar year in which the property taxes ae first due Eland payable. County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Brandon Kidd and Haley Kidd
Taxing District 0 G/-r' ` . Key number/legal description 26-17-12-100-005.145-021 /5490 S 775 W, Record number Page number
Owensville, Indiana 47665 d a-515
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?
$451,871.00 ❑Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than use,indicate with whom
If name on record is different than that of applicant,indicate below: a property in question: Annually Assessed
eal Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union FILED
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage F EB 7 2022
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 thiselfig eloe If yes,state amount of
other county on property for deduction
in Indiana? ❑ Yes ❑ No current year? 0 es 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or con act i ebtedness 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)th t is the asis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Auditor County i• Date(month,day,year)
n' a---1,1 v/ & 1 b 5b r W-7/a.�
I/We certify under the penalty of perjury at the above and foregoing information is true and correct and that the applicant is a resident of Indiana
and owner/contract buyer of the aforementioned property on date application is filed.
çatulrer's
full na )resident address of applicant number and street,city,state,and ZIP code)
5490 S 775 W, Owensville, IN 47665
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.