HomeMy WebLinkAboutMortgage_Angle 40. . STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
a g.
3 `5. FOR DEDUCTION FROM ASSESSED VALUATION Gibson 2022
4.,._T.`, State Form 43709(R14/1-20)
Prescribed by Department of Local Government Finance
ile Mark
INSTRUCTIONS: To be filed in person or by mail. o filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. P. County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property AM
is located on or before January 5 of the calendar year in which the property taxes are first due and payable. I County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Kyle W.Angle
Taxing District `` Key number/legal description Record number ge n r
yDiHn/ `lr} Atil l 26-18-13-402-000.862-026/Christison Add Pt Lot 16 vv 2_2—
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appli nt the sole
assessment date,current year assessment date,current year date of application legal r e stable owner'?
$85,300.00 $119,377.00 es 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: I e property in question:Annually Assessed
Real Property 0 Annually Assessed
TMobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller L ■
Liberty Federal Credit Union ■iJ ■L/
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theatre Drive, Evansville, IN 47715 'Ep 2 1
Name of assignee or other owner or holder of mortgage 2022
Address of assignee(number and street,city,state,and ZIP code) f�
rr,�{q� �/taL-e'a.1�1�o]f�„a)
Does applicant own property in any If yes,what county? What Taxing District? Has this deabLZl• •::iiii-„.,s`tiadWIDIlrefFt,state amount of deduction
other county on property for N Yes ❑ No
in Indiana? ❑Yes ❑ No current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or•'•ntract 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 County Date(month,day,year)
InnAk42, Gibson Gt/a I/c3'-z
I/We certify under penalty of perjury that the above and foregoing 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.
Si9/(��a��re ers full
�name) CIA. Da97or r�yJ_y�e�,
Full resi nt address of applicant(number and street,city,state,and ZIP code) C� Cll
206 W John Street, Fort Branch, IN 47648
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day,year)
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.