HomeMy WebLinkAboutMortgage_Kavanagh (2) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Ctounty Township1 Year
\ \� 1}p I
•���.�, FOR DEDUCTION FROM ASSESSED VALUATION � O 2022
1� I ;;t
��, State Form 43709(R14/1-20)
Prescribed by Department of Local Government Finance File Mark
INSTRUCTIONS:
To be filled in person or by mail. Form 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 /y�\\ County Auditor
property is located on or before January 5 of the calendar year in which the property taxes ae first due ID County
Recorder
and payable.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Emily P. Kavanagh
Taxing Oli tr; ict n,,,,` Key number 26-04-23-300-003.137-018 Record number Page number
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the app nt the sole
date of application legal or quitable owner?
assessment date,current year
assessment date,current year $203,500.00 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 ❑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)
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
O
Address of assignee(number and street,city,state,and ZIP code) N
Does applicant own property in an If yes,what county? What Taxing District? Has this dedu -o een requested If yes mourctOf "<
other county on property for dedu tion cez ,`Z
in Indiana? ❑ Yes No current year? Yes ❑ No ^i V
O
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or co ra indebtedness that is reco e co y r,
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that is he basis for the deduction. .. c Z
COUNTY AUDITOR O
co
m_
Deduction approved in the amount of: O
20 20 20 20 20 20 20
gn u e of County A�d itor CouA Date(moot ,day,year)
GGh CIp L� Q / - �Sc -- 4� 3��fl Z—
I/We certify under the enalty of perjury tha�e above and foregoing information is true and correct and th t th applicant is a resident of Indiana
and own /con act bu er of the aforementi�jned roperty on date application is filed. Date r(�ont ,day,yr�
Si atu ( is II -3 d'1 f as
l resident address applicant(number and st et,city,state,and ZIP code)
3820 N 225 W, Pa ka, IN 47666 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)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.