HomeMy WebLinkAboutMortgage_Bechtold is-`-*•. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
44 -;„, FOR DEDUCTION FROM ASSESSED VALUATION
i i> State Form 43709(R11 6-09) Gibson O ville 2022
S Prescribed by Department of Local Government Finance
J
INSTRUCTIONS: File Mark
To be filed in person or by mail.
Filing Dates: 1.) Real Property: Must be completed and dated in the calendar year for which the deduction is sought. Form filed with:
Must be filed with the County Auditor or County Recorder of the county where the property is located
on or before January 5 of the immediately succeeding calendar year. Q County Auditor
2.) Mobile/Manufactured Home not assessed as real Property: Must file with the County Auditor of the
county where the property is located during the twelve(12)months before March 31 of each year the LJCounty Recorder
deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer—see restrictions on reverse side
• David M.Bechtold and Connie J.Bechtold -7i( j —1 l — A. ,I ,3'LX.) —COL-( • (C q (e 0 Z
Taxing District o 1 Key number/legal description Re hump ,i Page number
` *CURTIS LAKE EST SEC 2 LOT 34 I
Assessed value of real property as of Mortgage/Contract indebtedness unpaid Mortgage/Contract indebtedness Is the applicant the sole
March 1,current year as of March 1,current year. unpaid as of date of application legal or equitable owner?
• $0.00 *$U0 -?5 J( r (CO.C `$376,500.00 ❑x Yes ❑No
If no,what is his/her exact share of interest? i_—
If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: Is the property in question: Annually Assessed
❑X Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract t seller FILED
• Evansville Teachers FederallCredit Union
Address of mortgagee or contract seller(number and street, city, state,and ZIP code)
4405 Theater Drive,Evansville, IN 47716
Name of assignee or other owner or holder of mortgage APR 2 D 2022
Address of assignee(number and street,city,state,and ZIP code) ,L '
Does applicant own property in any other In yes,what county? What Taxing Di tetG tt a.t&f� ,been reques ed on property
county in Indiana? GIBSON CGIfHtlTiYrn6jutCiigalat
❑ Yes .Ia/ No Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signatur_ epf County A ditor County CV h Date(month,
I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is fi d.
Signatu (owner's full name) • Date(month,day,year)
,fat, Obi 0-0. 1 L{ ,(i 0. 04/08/2022
Full resident address of applicant(number and street,city, state,and ZIP code)
6398 W.Stalheim Ave,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)