HomeMy WebLinkAboutMortgage_Firkins (2) ,4,- STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS CountyTownshipYear
�, � ��
- ' >, FOR DEDUCTION FROM ASSESSED VALUATION
.' State Form 43709(R14/1-20) Gibson Montgomery 2022
a" Prescribed by Department of Local Gov rnment Finance RF^ IV D
�� File Mark
INSTRUCTIONS: To be filed in person or by mail. O/�/�.Y ' APR 0 4 2022 M Form filed with:
Filing Date: Form must be completed and dated in the caal�dar year`for which the deduction is sought. (,�.� ) VI County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property AL
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. er County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Logan D. Firkins and Sydney L. Firkins --_`
Taxing District Key number/legal description �'' � Record number I Page number
26-11-17-402--000.323-0211 and 26-11-17-402-005.499-021 /C uch e �22 /S.t�(-/`J'(
Montgomery Woods Lots 3, 7& 10 !/v 1_
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is th ap licant the sole
assessment date,current year assessment date,current year date of application lega or uitable owner?
$56,880.00 $36,000.00 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 property in question:Annually Assessed
eel Property ❑Annually Assessed
FILED Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
\\
Evansville Teachers Federal Credit Union tt p
Address of mortgagee or contract seller(number and street,city,state,and ZIP cow R 0 4 2022
4401 Theatre Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code) GIBSON COUNTY AUDITOR
Does applicant own property in any If yes,what county? What Taxing District? Has this deductio en requested If yes,state amount of deduction
other county CI Yes 0 No on property for Yes El No
in Indiana? current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c nt 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) hat's the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 (6)) 20 20 20 20
Signature of County Auditor County Da ( f t'h,1/A yearl
MV�c .,Y1s Gibson N �2 2--
I I We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resi ent f Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(owner's �name)�• Date(month,day,year)
kis_ �tom/ L. �T.A -C.�ZiW�� �d� 3 . 2 . Z.Z
Full resid t addres of applicant(number and street,city,st e,and ZIP e)
S Old State Road 65, Owensville, IN 47665
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 years and a fine not to exceed$10,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Order No. Name of mortgagee or contract seller D 33
iiii
Logan D. Firkins and Sydney L. Firkins 22-1420 FT/ -�rt�� achers Federal Credit Union n
Date flle�(month,day,Year) Amount of indebtedness ' J I ing District p rn
`�—t[ /U c!/r'� Z $36,000.00 ontgomeryn �/TJ C
Key number/legal description L(,—1 I o rr1
26-11-17-402--000.323-021 and 26-11-17-402-005.499-0 uch WoocAraits0342022 Regional Title Service- p
Signature of County Auditor/County Recorder / • County ,f� Date(month,day,y�ar)�
��.�- ibson ��. f/Yst�srw) /A- 4- -7„ L Cr
GIBSON COUNTY AUDITOR \ CY