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HomeMy WebLinkAboutMortgage_Hightshoe (3) - County Township STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESSGibson Patoka 2022 �:�. �'�'- ''`'� FOR DEDUCTION FROM ASSESSED VALUATION_;, `. ile Mark �., State Form 43709(R14/1-20) '� Prescribed by Department of Local Government Finance o,. filed INSTRUCTIONS: To be filed in person or by mail. ► County with:Auditor year for which the deduction is sought.where the grope [rj� ounty Recorder Auditorthe County or County Recorder of the county Filing Date: Form must be completed and dated in the calendaryear in which the property taxes are first due and payable. Must be filed or postmarked r y 5h of the calendar is located on or before January See reverse side for additional instructions and •ualifications. Page number Applicant(owner or contract buyer-see restrictions on reverse side) Record number Z 5 Andrew Hightshoe Key number/legal description `� Taxing District 26-11-01-404-001.706-028 and 26-11-01-404-002.297-028/Lots 19 /`* applicant the sole Is the Mortgage/Contract indebtedness unpaid as of legal or equitable owner? &20 Blk 3 e Contract Add unpaid as of application Patoka Mortgage/Cdate,ct indebtedness entyear date of or Yes ❑ No propertyas of current year Assessed value of real rtet yearassessment date, $52,000.00 assessment date, spouse,indicate with whom If owned with someone other than $42,200.00 in question:Annually Assessed If no,what is his/her exact share of interest? Is e property Real Property 0 Annually Assessed If name on record is different than that of appl icant,indicate below: Mobile Home(IC 6-1.1-7) mortgagee or contract seller • Name EvansvilleTeachers �_ • Federal Credit Union Address of mortgagee or contract seller(number and street,city,state,and ZIP code) Evansville,IN 47715 1 4401 Theatre Drive, .+. Addr • city,state,and ZIP code) l`./'s, ,� }; � •f deduction (number and street, ty, -� -ste• Does applicants f assignee What Taxing District? Has this deduction bee t e �,M s AUDtT� Ifyes,what county? on property for I]Y-J1 li-ili§, Does own property in any current year? �[�7 other county Yes !No erson's mortgage or contract indebtedness that is recorded in the county in Idiana? person has a balance on the p recorder's office)thatn is the basis for the deduction. recorder'sA person is not entitled into this homeieq unless the p COUNTY AUDITOR office(including any equity line of credit that is recorded in the county Deduction approved in the amount of: 20 20 20 20 20 Date(month,day.year) 20 2O County Gibson applicant is a Indiana and •penalty of perjury that the above and foregoingf information £led_true and correct and that the Date resident(m• th,ofd y,Indiana under p property on date application 1 1 We certifybuyer of the aforementioned P P owner/contract ar) al -!u�• and ZIP code) •ems'• I"nt(number and street,city,state, IN 47670 Date(month,day,year) Full resident ad•real of tpp Princeton, P5erson W Glendale duly Street xe/ ted58 ow Glendale Street, 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) The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed S10,000.