HomeMy WebLinkAboutMortgage_Harmon (7) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
7:4*,, ';; State Form 43709(R14/1-20) ZZOZ E Z 833 Gibson 0 2_ 2022
* Prescribed by Department of Local G nment Finance
INSTRUCTIONS: To be filed in person or by mail. 40_s_sc:"-----1
tu.<4
aantaamd File Mark
Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 10 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. El County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Andrew M. Harmon and Alecia Harmon
Taxing District Key number/legal description Record number Page number
Princeton 26-12-08-204-001.479-028/DIKE EAST EXTENSION 5 ---)"0 2-2-- '7140
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?
$0.00 $208,000.00 121 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: Is the property in question:Annually Assessed
F ILED 0 Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union 4Z022-
Address of mortgagee or contract seller(number and street,city,state,and ZrIPED/e/
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
-'- p1/40011fO
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 i.#2arfrequKt1 If yes,state amount of deduction
other county N COU1•4 IC
GIBSO lit
on property f r
in Indiana? CI Yes 0 No current year. Yes No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract ind btedness 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 ii 20
Signature of CountynrtaAir-1--% 20 20 bs Count 20 20 y
Gion Date
i i We certify under penalty of perjury tha ova and foregoing information is true and correct and that the applicant is a resi ent of I diana and
owner/contract buyer of the aforementioned property on date application is filed.
,t,tur (owner's Jill gint: tirrt2d2zr)
ll residen address of applicant(number and street,city,state,and ZIP code)
2304 E.Taylor Ave., 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)