HomeMy WebLinkAboutMortgage_Lutz (4) • STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS county`_NQCl Township I Year I
. ='.., FOR DEDUCTION FROM ASSESSED VALUATION I I ZC",� 2022
I' ! State Form 43709(R14/1-20) File Mark
'IV,` / Prescribed by Department of Local Government Finance
INSTRUCTIONS: For led 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.
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 County Recorder
and payable.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Andrew J. Lutz and Kaci M. Lutz
Record number Page number
Taxing District Ors Key number 26-18-36-200-002.802-024 dd-//c5Q eo
Assessed value of real prope y as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaidas of Is Is the or eappliquitablnte owne er?
9
assessment date,current year assessment date,current year date of application
$289,750.00 p'ffes 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 th operty in question: Annually Assessed
Icr-Real Property 0 Annually Assessed
Mobile Home (IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union F ILE
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 Z�ZZ
Name of assignee or other owner or holder of mortgage MAR 2 2
Address of assignee(number and street,city,state,and ZIP code) `/92 -e l.Lrra.
Does applicant own property in any If yes,what county? What Taxing DistriEaIBSONIakhikNledu Tallequested If yes,state amount of
on property for deduction
ot Indiana? ❑ Yes 11nr county Id I`t/o current year? Yes 0 No
in
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or co r ct 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
(County (Date(snteely eIr11 _2_2_Signature of County_qudito . LL �(JI/We certify under the the p�perl that the above and f4LSO
oing information is true and correct and that a appli nt is a resident of Indiana
and owner/contract buyer of the aforementioned property on application is filed. IDate<(�m �y` � _
Z/jnat eye (own f full name) ' / _ m (ill �)2_2_
- ...- it,
('J]IVWV,'vnYn
Full resident address of ap ica (number an. -t,city,state,and ZIP code)
9887 S Watertower Dr., Haubstadt, IN 47639 (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)
—. .. - r_----..._.__„,,,,,1,,,.la r.,,r.r.cr.r.r„a„l.,,,,fr,n..r.arrr a half veer,and a fine not to exceed S10.000.