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HomeMy WebLinkAboutMortgage_Smith (29) �.�v.• "►q, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C unty Township Year FOR DEDUCTION FROM ASSESSED VALUATION � ©�� r2" �` State Form 43709(R14/1-20) 9._. „)NPN • 2022 %,-_ Prescribed by Department of Local Government Finance File Mark 'S.. INSTRUCTIONS: To be filled in person or by mail. Form f 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) Elyssa Marie Smith and Tyler Jacob Mason Taxing District Key number/legal description 26-11-04-400-000.824-027/3585 W 100 N Record number Page number © Princeton, Indiana 47670 26-11-04-400-000.824-027 ae) - , t a91 Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the ap nt the sole assessment date,current year assessment date,current year date of application legal o quitable owner? $194,000.00 Yes ❑ 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 t property in question: Annually Assessed Real Property 0 Annually Assessed FILED Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller First Federal Savings Bank Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 5001 Davis Lant Drive, Evansville, IN 47715 MAR 1 7 2022 Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) Vh-r-e-AZZE �j 1/lft41 GIBSON COUNTY AUDITOR Does applicant own017,., rty in any If yes,what county? What Taxing District? Has this deduc'o been requested If yes,state amount of other county on property for deduction in Indiana? Yes 0 No current year? 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 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)that is the basis for the deduction. COUNTY AUDITOR Deduction approved in the amount of: 20 20 20 20 20 20 20 Signature of County AudfQl z Q i� , County 1�On Date(nt „..ta A�7 I,We certify under the penalty of perjury that the above and f e oing information is true and correct and that t e applic nt is a resident of Indiana and owner/contract buyer of the aforementioned property one application is filed. Y P P YPP Si nature( wner's full name) Date(mon ,day�earl Fullre t address bf applicant(number and street,city,state,and ZIP code) 3585 W 100 N, 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) The penalties for perjury can include imprisonment up to two and a half vears and A fine not to ernee.+Tin nnn