HomeMy WebLinkAboutMortgage_Naas (7) _ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
'r'"� .`<', FOR DEDUCTION FROM ASSESSED VALUATION
r.. ""', State Form 43709(R14/1-20) (� a,h,� _< I 9� Gibson Owensville 2022
.-�;_ Pisraxabed by Department of Local Government Finance t'CLa 1 �1 t
n /,�o Fite Mark
INSTRUCTIONS: To be filed in person or by mail. S � J nfi a F�47 p a Form teed with.
Filing Date: Form must be completed and dated in the calendar y4ir for which the deduction is wu07r� ® County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where ttr'8 property is County Recorder
located on or before January 5 of the calendar year in which the property taxes we first due and payable.
See reverse side for additional instudions and qualifications..
Applicant(owner or contract buyer-ass restrictions on reverse side)
James Naas
Taxing District Key number/legal description Record number Page number
Owensvitte ` mt26-18-07-103-000.576-022 2021 2047
Assessed cake of real property as of Mortgage I Centred indebtedness unpaid as of Mortgage indebtedness unpaid as of ant tabtppecation legal or eree Boole
assessment date.current year assessment data.cement year
data of$35,000 ®Yes 0 No
t 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
®Real Property ❑MAnnually Assessedobil 1.1-7)
Name of mortgagee or contract seller
Evansvibe Teachers Federal Credit Union y / / 0 Ilan'
Address of mortgagee or contract seller(number and street,ciry:state.all 'code) , '/l �C7 l�
&cAj ' Q!`'Yt,i^l uName of or other owner or hoider n /\ 7_Mortgage i rI'f`/lf(b`to.� `f 7 CO I� F'"'��
...4
Address of assignee(number and street.city,state.and LP code) t `
Z
inIf What Taxing District? Has this deduction been requested if yes.pste`amaut of IaI��Ksi
Does applicant own propertyl any yes,what cowMYl on property for Yes 0 No T, ro
ph tndlerte? CI yes 0 No current year? I�
A person is not entitled to this deduction unless the person has a balance on the persons mortgage or contract indebtedness that is GW'i&ded in the
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 deddillen.
COUNTY AUDITOR
Deduction approved in the amount or
20 1 20 20 20 20 20 20
Signature of County Auditor �/� �(� f7, ! 2?
d .1/lexbrnd) Gibson _
I/We certify under the penalty of perjury that the above and furoguhry information is true and correct and that the applicant is resident of ndiana and
owner/contract buyer of the aforementioned property on date application is tiled.
owner's hue mite) ) Date(month.day.year)
=4/dmidd ess��ahest city.stete;'Snd VP code)
418 E Walnut St.,Owensville,IN 47665
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 1 Date(month,day.year)
Address of authorized person (number and street,city,stab.and ZIP code)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed 510.000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
James Naas Evansville Teachers Federal Credit Union -in aj
Date sled(on dm Amount of indebtedness Taxing District COro nil
G- 2. /'1 °2 Z- $35,000 Owensville U
oci M
Key remnber r '2 U 2�- Z CJ(t t-� ni
26-18-07-103-000576022 `.
Signature of County Auditor/County RecorderCounty Date(month, y , ^�.� N (a
`�h,-;44 cl a .t�rz ..) I Gibson ,Z,,, '