HomeMy WebLinkAboutMortgage_Krueger (2) +., STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C.ounty Township Year
• C�2-L-
- �'�s FOR DEDUCTION FROM ASSESSED VALUATION I I 2022
-,/ State Form 43709(R14/1-20) J
File Mark
�l� --' Prescribed by Department of Local Government Finance
INSTRUCTIONS: For(n f���eeed with:
To be Dfilled insperson or mail.
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 0 County Recorder
and payable.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Aaron M. Krueger
Taxing Distr'1 22...... Record number Page number
Key number/legal description 26 17-01-400-000.723-022/ CIO
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1 d i l
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Assessed va e of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of legal the�applicant
pple table owole
assessment date,current year assessment date,current year (date of application g l or,qu 0 No
er?
$130,500.00
If no,what is his/her exact share of interest? I If owned with someone other than spouse,indicate with whom
Is question: Annually Assessed
If name on record is different than that of applicant,indicate below: I •. -rty ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
VIA,...)
Name of mortgagee or contract seller 242,E
First National Bank of Carmi A
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) MP R
7500 Eagle Crest Blvd., Evansville, IN 47715 iik�v►o)
Name of assignee or other owner or holder of mortgage /O`ato Pup\.1G'R
Address of assignee(number and street,city,state,and ZIP code) G SOO C`
Does applicant own property in any If yes,what county? What Taxing District? Has this deducti n en requested If yes,state amount of
on property for deduction
other county
in Indiana? 0 Yes 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 c tr t 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) hat i the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature of County Auditor County Date(month,day,year)
\��\ ..V\ t.QQC�.. ,��(1L�U t/ C, (r= .� )-►r-.,,. - - -- .,
f/V 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.7IDatesmon th,rJ rear)
ig ature(owner's full name) �GJ rib
121
Full resident address of applica number and street,city,state,and ZIP code)
6544 W North St., Owensville, IN 47665 Date(month,day,year)
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7
Address of authorized person(number and street,city,state,and ZIP code)
The penalties for penury can include imnrla.+n.*+.r^r,,.,,.,hen and a half vaare an.+a rr..^•1*r., -I.41n one