HomeMy WebLinkAboutMortgage_Hammel (2) T STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS county Township Year
• !:"7,' FOR DEDUCTION FROM ASSESSED VALUATION
�� \ OCR _) 2022
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'. ���`� State Form 43709(R14/1-20)
'ii-_. ' Prescribed by Department of Local Government Finance File Mark
INSTRUCTIONS:
To be filled in person or by mail. Fled 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)
Anthony Hammel
Taxing District o 0 � " Key number 26-13-20-103-000.329-005 R a.�cord number Page number
Record
Assessed value of real property as of Mortgage/Contract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current year assessment date,current year date of application legal or uitable owner?
$128,000.00 VP-Yes 0 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 the..property in question: Annually Assessed
C'Real Property 0 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) jr-741-L
4401 Theater Drive, Evansville, IN 47715
Name of assignee or other owner or holder of mortgage MAY
_ 1 9 2022
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deduct' 1 44 , yes,state amount of
other county on property for ry CveidOUNTY AU 70 ion
in Indiana? El Yes No current year? Yes 0 No R
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or c tra 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
Sig ur of County rtor County \ �� Date(month , e t„ram'
� �',� o�� rrvvnn,, S Nam/
I/ e certify under the penalty of perjury that the above and foregpirtlg information is true and correct and that the applica is a resident of Indiana
and owner/contract buyer oft aforemention propertyon date lication is filed.
SLgha - I.- '=full name) ' Date(month,d y,yea
ri
Full resident addreppl nt(number and street,ci , te,and ZIP code)
Iv
401 S Center - Francisco, IN 47649
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.