HomeMy WebLinkAboutMortgage_Howell (3) .0 4-•�. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS l'ounty Township Year
• =_.'t4 FOR DEDUCTION FROM ASSESSED VALUATION �Q� 22 7i022-
5 f State Form 43709(R13/10-15)
t Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: Form 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.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is County Auditor
CI County Recorder
located on or before January 5 of the immediately succeeding calendar year.
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)
Howell, Nathan G. & Howell, Angela L.Taxing District I Key number/legal description I Record number�� I Page number
3
Owensville 26-17-01-404-000.306-022Is
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of legal applicant equitable a sole
date,ae,current year date of application
er?
assessment date,current year E
$189,525.00 l Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
Is the property in question:Annually Assessed
If name on record is different than that of applicant,indicate below: � Real Property 0 Annually Assessed
T/ Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller / T T
Heritage Federal Credit Union III ���1 /Lu/
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
5388 Old State Road 66 Evansville, IN 47630 JUL 7 0 2022 `
Name of assignee or other owner or holder of mortgage - V
/ ,.�^ f✓ r
N
Address of assignee(number and street,city,state,and ZIP code) G/BSO j`
COUNT
vv yfigLte amount of deduction
Does applicant own property in y I If yes,what county? What Taxing District? I Has this deduction en requesfe� (If
on property for
in n current year? es ❑No
in Indiana? ❑Yes No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or nt ct 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)tha is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
I 20 I 20 I 20 I 20 I 20
20 20
Date(month,day,year)
Signature of Co)6.. Auditor G . \O�'t'�J`pv...eCounty
C `�—‘ �.—Z,2— -
I/We certify under the penalty of perjury that the above and forengation 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]
Sig �uren(owners full name)
rL` 07/08/2022
Full 'dent ad�5ess of applicant(number and s t,city,st an ^ P code)
08 East Poplar Street Indiana 47665 I 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)
,tie nanalfias for Harlon,,.an int-hoe/a imnriennment uo to two and a half vaaro anrf a fins nett In avraerf sin.000.