HomeMy WebLinkAboutMortgage_Muncy (3) STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C�Ounty Township Year
°i `t FOR DEDUCTION FROM ASSESSED VALUATION l
4 G OWN 02Ll
State Form by (R13/10-15) J
`'. � Prescribed by Department of Local Government Finance J
File Mark
INSTRUCTIONS: Fo filed with:
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. County Auditor
Must be filed or postmarked 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. County Recorder
2) Mobile/Manufactured Homes 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 deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Muncy, Johnny M. & Mary E.
Keynumber/legal description Record number Page number
Taxing nsct g 20.22 ? 6 / O
Johnson 26-18-36-200-002.785-024
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is Is the applicant
equitable the
e sole
assessment date,current year assessment date,current year date of application
$339,272.00 El Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
P Is the property in question:Annually Assessed
E
If name on record is different than that of applicant,indicate below: Real Property El Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Evansville Teachers Federal Credit UnionL-467b
�
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) �i✓ I
4401 Theater Drive, Evansville, IN 47715 ''2022
r '
Name of assignee or other owner or holder of mortgage V/13SO/ e'
/ `
Address of assignee(number and street,city,state,and ZIP code) tiTI✓q 4.' ".
/T
Does applicant own property in any I Dyes,what county? What Taxing District? oHas n property deductio en requested If yes,state amount of deduction
other county current year? ` Yes Ell
in Indiana? ZYes 0-No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage o contract 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
County Date(month,day,year)
Signature of County Auditor t�7r1 La — ,0—2_Z
I/ e certify under the penalty of perjury that the above Ind fore ng 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 filed. I Date(month,day,year)
i• ure(owne/sfull name) ,/ jce 7, E —1,.,^�` y�/ 06/06/2022
Full .i•- t address of pelican (number and street, rty,state,and ZIP ode) ,l'/
710 West Conwell Drive, HauDstadt, IN 47639 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)