HomeMy WebLinkAboutMortgage_Botoms .2"'4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
7 FOR DEDUCTION FROM ASSESSED VALUATION RECEIVED Gibson 0 C�� 2022
a ,:
�;� State Form 43709(R14/1-20)
-4,17 Prescribed by Department of Local Government Finance JUL 2 5 2022 File Mark
INSTRUCTIONS: To be filed in person or by mail. <TF 'C— ' Form filed with:
Filing Date: Form 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 County Recorder
is located on or before January 5 of the calendar year in which the property taxes are first due and payable.
See reverse side for additional instructions and qualifications. `
Applicant(owner or contract buyer-see restrictions on reverse side)
Tyler Bottoms
KeyTanumber/legal description Record number Page number
Oak
District -moo ZZ 3 2 50
Oak ity 26-20-13-200-002.004-001 /KOHLMEIER EST I
sessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Iss the a plicantg the o sole
assessment date,current year assessment date,current year date of application
er?
$0.00 $224,000.00 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:
F T T 1 I D e property in question:Annually Assessed
Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller JUL 2 5 2022
Evansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,stritat'nd ZJP co Yl i(/4
4401 Theater Drive,Evansville, IN 47715 GI/rBSGOIN COUNTY AUDITOR
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any If ,what county? What Taxing District? Has this deduction en requested If yes,state amount of deduction
Ion property for
Yes
other county ❑Yes current year? El No
in Indiana?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or on 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)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20
20 20 20 20 20 20
�/'� County Date1 j e 2
Signature of County Auditor o' I, _^ — a 1 L
W `f�S Gibson dl
1/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a re ident fa Indiana and
owner I contract buyer of the aforementioned property on date application is filed.
q,(ge4 y, ar�
4,Signature e/s Dat�9,47 ! 4�
Full res' nt address of applicant(number and street,city,state,and ZIP code)
1114 E.700 S.,Oakland City, IN 47660 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)
_____..._....,,...,orrl a half vc a rc and a Fnn a"-,f.....roof elf.nnn