HomeMy WebLinkAboutMortgage_Heard �, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township I Year
•�/, :IF-7.7��- FOR DEDUCTION FROM ASSESSED VALUATION tri
®�$ 2p22
�!� `� '`4. State Form 43709(R14/1-20) F le Mark
'4„-1 -:p Prescribed by Department of Local Government Finance
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INSTRUCTIONS: APR 1 8 20 orm f ed 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 to ee a�e� a�`' County Recorder
•
and payable.
GIBBON COUNTY AL Di
T
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Adam Heard and Alyssa Heard IReepc nu be (Page number� /
Taxing District I Key number 26-12-08-104-001.489-028 ( irl
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage(date of applicationIContract indebtedness unpaid as of Its Is theo p qi tat the
sole
assessment date,current year assessment date,current year Yes ❑ No$176,739.00
If no,what is his/her exact share of interest? (If owned with someone other than spouse,indicate with whom
applicant,indicate below: Is t property in question: Annually Assessed
If name on record is different than that of Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4405 Theater 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)
Does applicant own property in an If yes,what county? What Taxing District? Has this dedu on been requested If yes,state amount of
on property for/ deduction
other county current year? i Yes 0 No
in Indiana? 0 Yes No
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)tha 's the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
i 20 20 20 i 20 i 20
20 20 County 1 ^ Date(mo th day,mar-0_
of Count A a .f ri�.�,..) I 3�- ` t-,`1��7 C f�J
of perjury that the above and or going information is true and correct and tha the applicant is a resident of Indiana
I/We certify under the penalty p r) ry
and owner/contract buyer of the aforementioned property on date application is filed. (Date(mont da ,year)
Sint a owner's ll name) y,W212
ull re i ent address of applicant(number and street,city,state,and ZIP code)
1501 Mary Lee Dr., Princeton, IN 47670 (Date(month,day,year)
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 l
Address of authorized person(number and street,city,state,and ZIP code)
rho.,o„ainP.c fnr neriury can include imorisonment up to two and a half years and a fine not to exceed$10,000.