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HomeMy WebLinkAboutMortgage_Capehart �• STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year •L n, FOR DEDUCTION FROM ASSESSED VALUATION 1 ©28 2022 1{ r'`rj State Form 43709(R14/1-20) 44a;---_i�`./ Prescribed by Department of Local Government Finance File Mark r s INSTRUCTIONS: To be filled in person or by mail. Fo filed 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 County Auditor property is located on or before January 5 of the calendar year in which the property taxes ae first due and payable. 0 County Recorder See reverse side for additional instructions and qualifications. Applicant(owner or contract buyer-see restrictions on reverse side) Troy Capehart and Brittaney O'Dell Taxing District 0 22 Key number 26-12-07-203-000.370-028 Re r number Page number LA-do Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the app cant the sole date of application legal o quitable owner? assessment date,current year assessment date,current year $223,003.00 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 Mobile Home(IC 6-1.1-7) Name of mortgagee or contract seller Evansville Teachers Federal Credit Union FILED Address of mortgagee or contract seller(number and street,city,state,and ZIP code) 4401 Theater Drive, Evansville, IN 47715 Name of assignee or other owner or holder of mortgage APR 07 2022 Address of assignee(number and street,city,state,and ZIP code) t� I. li- ested If yes,state amount of Does applicant own property in any If yes,what county? What Taxing District?GIB p Ntp«Qe a deduction other county on pro-perry or in Indiana? ❑ Yes 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 c ntra 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 Auditor _ County Date(m nth day,year) I/We certify under the penalty of perjury that the above and foring information is true and correct and th t th applicant is a resident of Indiana and owner/contract buyer of the aforementi ed property on date application is filed. Date(�ntty d�year) /� 6)-çner' n ) e�:,L-r•ddre applicant(number and street,city,state,and ZIP code) ( 319 State St., 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 years and a fine not to exceed$10,000.