HomeMy WebLinkAboutMortgage_Hoefling (6) . -"'-*•% STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
'1: FOR DEDUCTION FROM ASSESSED VALUATION Gibson 0 22022
' State Form 43709(R14/1-20)
i Prescribed by Department of Local Government Finance RECEIVED
File Mark
INSTRUCTIONS: To be filed in person or by mail. ` r?"" R, 2022 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
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)
Mallory A. Hoefling and Joshua M. Hoefling
Taxing District Key number/legal description Record number Page number
Fort Branch 26-19-19-203-001.255-026/INDIAN HILLS 9/10 2-9 a - 522- ,
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
application assessment date,current year assessment date,current year date of a PP� legal or equitable owner?` 1
$0.00 $265,109.00 V�Yes El No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom �1
If name on record is different than that of applicant,indicate below: Is a property in question:Annually Assessed
Real Property 0 Annually Assessed
Name of mortgagee or contract seller FILED \\\ Mobile Home(IC 6-1.1-7)
Liberty Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code.1-(' O 9 2022
4405 Theater Drive, Evansville, IN 47715 L1Cl+
Name of assignee or other owner or holder of mortgage
`-huAAA/ O. i,,-..'
Address of assignee(number and street,city,state,and ZIP code) GIBSON COUNTY AUDITOR
Does applicant own property in y If yes,what county? What Taxing District? Has this deducti n b n requested If yes,state amount of deduction
other countyon property for es 0 No
❑Yes NO current year?
in Indiana?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or ont 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 Date mot year
Signature of County Aud' r _ 2 `�
'Cr`y� �J Gibson
I I We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant is a reside t of ndiana and
owner/contract buyer of the aforementioned property on to applications Is led. Date(month,day,year)
S�wne ll name)_ f `,123��
Full resident address of pliliccant(num and st et,city,state,and ZIP code
E. 795 Branch, IN 47648
28Date(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)
The penalties for perjury can include imorisonmant i.n to ti..-.era a half„ n' n^ef e fins not to axrwad sin nnn