HomeMy WebLinkAboutMortgage_Georges (2) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
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`t FOR DEDUCTION FROM ASSESSED VALUATION ��/� CO
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f`' f "I State Form 43709(R14/1-20) SK 2022
Prescribed by Department of Local Government Finance File Mark
INSTRUCTIONS:
To be filled in person or by mail. Fo ed 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
property is located on or before January 5 of the calendar year in which the property taxes ae first due County Auditor
and payable. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Mackenzie Rene Georges and Justus Georges
Taxing Drics 1 Key number/legal description 26-20-13-100-001.169-001 /10642 E 700 S, Reword number Page number
(�/,/ Oakland City, Indiana 47660 at: -")1)Q
Assesse 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 itable owner?
$180,000.00 es 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
9.1 eaI Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville esvof mortgagee
Teachers Federal Credit Union IL
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715
F,D
Name of assignee or other owner or holder of mortgage
6 F E R 1 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 this ded.v,^ - t If s,state amount of
other county on property r. :` i OUN DIT uction
in Indiana? ❑ Yes o current yea ■ 0
A person is not entitled to this deduction unless the person has a balance on the person's mortgage o . ra .ebted ess at is recorded in the county
recorder's office(including any home equity line of credit that is recorded in the county recorder's office at is e basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature/if C my Auditor County Date(month,day,year)
�� l(, (. a_..— C I Sam a//' 7/aa
I/We certify under the penalty of perjury that 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.
Signature(owner's full name) Date(month,day,year)
Full re ident address of applicaant(number and street,city,state,and ZIP code)
10642 E 700 S, Oakland City, IN 47660
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.