HomeMy WebLinkAboutMortgage_Schneider (2) _, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year I
•4i?:�<� r FOR DEDUCTION FROM ASSESSED VALUATION I ` 2022 11
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{, `"` State Form 43709(R14/1-20) File Mark
Prescribed by Department of Local Government Finance
INSTRUCTIONS: Form filed with:
To be filled in person or by mail.
Filing Dates: Form must be completed and dated in the calendar year for which the deduction is sought. 0
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)
Troy Schneider and Laura Schneider (Record number (Page number
Taxing District /'� Key number/legal description 26-18-36-400-002.289-024/893 W 1000 S a_ ��
(( I
Haubstadt, Indiana 47639 �(
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of(date of ae/I cation indebtedness unpaid as of Its Is thl e applicant the
sole
er?
assessment date,current year assessment date,current year pp$138,000.00 ❑x Yes 0 No
If no,what is his/her exact share of interest? I If owned with someone other than spouse,indicate with whom
Is the property in question: Annually Assessed
If name on record is different than that of applicant,indicate below: F jLO r l P' I rty 0 Annually Assessed
Name of mortgagee or contract seller
�, Mobile Home (IC 6-1.1-7)
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) MAR 1 5 2022
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
Gts� Q.L :_Y
OPI CDuNTY AUDITOR
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 on property dedor on en requested 11f
yes,state amount of
othn county I I current year? Yes ❑ No
in Indiana? 0 Yes 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or co ra indebtedness that is recorded in the county
recorder's office(including any home equity line of credit that is recordedrecorder's office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
I I I 20 I 20 I 20 I 20
20 20 20 ounty Date(month,day,year)
Signature of County Auditor �,f k ,r\ I -- l Q Z-7�� �_t� is a resident of Indiana
I/We certify under the penalty of perjury that t�above and foregoinginformation is true and correct and that the applicant
and owner/contract buyer of the aforementione ropert on dat application is filed. (Date( qt�;a te
r)
Siynaturea-er's full name) _�r1,9i 11
Full resident addre of applliicant(number d street,city,state,and ZIP code)
893 W 1000 S, Haubstadt, IN 4763 Person authorized by duly executed Power ofAttomey 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)
-r.....,o„oJti.c fnr neriury can include imprisonment up to two and a half years and a fine not to exceed$10,000.