HomeMy WebLinkAboutMortgage_Geene ^•, q• STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
it FOR DEDUCTION FROM ASSESSED VALUATION
'i ,,1 State Form 43709(R14/1-20) RECEIVED Gibson 0 22 2022
,1B - Prescribed by Department of Local Government Finance
INSTRUCTIONS: To be filed in person or by ma( 19 ' • JUN 2 1 2022 File Mark
WA. F m fled with:
Filing Date: 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 property County Auditor
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Heather Greene
Taxing District Key number/legal description rR�ecord number Page number
028 26-12-08-204-000.748-028 2.DZ•Z.O(Z)d Z-41 l p
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 r equitable owner?
181,000.00 es ❑ 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
F ILEDal Property ❑ Annually Assessed
Mobile Home(ICs 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) 1 Lu Cqr?�}-
Z
4401 Theater Drive,Evansville, IN 47715 rt _�t ,'/
Name of assignee or other owner or holder of mortgage c%/,�"'4 "' '-
GIRSON COUNTY AUDITOF
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own prope in any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes o current year? ❑Yes T diff'lo
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or 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
Signature of County Auditor_^,l County ���- Dater /ypay )
I/We certify under the penalty of perjury that the nd foregoing information is true�n correct and that the applicant/nt is re
sii nt of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
`�fg to (ow r' full name Date(month,day,year)
/J`-, June 10,2022
Full resi ant dres appl ant(nu r and street_city state,and ZIq�code)�
/ �OY , , 4)( IYIC.(�4Dr) t.-In-) 1 lye
Person authorized by duecuted Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year)
June 10,2022
Address of authorized person (number and street,city,state,and ZIP code)
The nenaltias f r na.i••�• •^-.i••.';,-.•.rinnmant fin to two and a half years and a fine not to exceed.R1n nnn