HomeMy WebLinkAboutMortgage_Lantero M•""' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
\ FOR DEDUCTION FROM ASSESSED VALUATION_
% , State Form 43709(R14/1-20)
CEIVFn Gibson 0 2022
Prescribed by Department of Local Government Finance
DEC 1 9 2022 File Mark
^
INSTRUCTIONS: To be filed in person or by mail. l Se \ Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. 0 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.
CI See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Brittnie Lantero
Key number/legal description Record number Pa a number
Taxing Qi�tpCt '10 ��
�`.J1�� 26-18-13-402-000.752-026/HICKROD ADD 1
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of date of application I I Contract indebtedness unpaid as of Is thes applicant
al pli aable owner?
sle
assessment date,current year assessment date,current year pP
$0.00 $145,500.00 IZI Yes 0 No
If no,what is his/her exact share of interest? If owned
fT_w��.ith someone other than spouse,indicate with whom
FI J 1.If name on record is different than that of applicant,indicate below: I!
Q Real Property 0 Annually Assessed
DEC 2 12022 Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Liberty Federal Credit Union /
Address of mortgagee or contract seller(number and street,city,state,and o de a N
4405 Theater Drive, Evansville, IN 47715 CiIRROW r:OUNTv AUDITOi
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 yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for Yes 0 NO
in Indiana? 0 Yes 0 No current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract 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 I 20 I 20 I 20 I 20 20
County I Dar,((n nth, y,yea)
Signature of County Auditor _ ^ J,�t _ \� C r, 1\L -2.‘ "Z
t`'1,(11 `r.�7,�111� J--� \�71 I Gibson
1/We certify under penalty of perjury that the abov nd foregoing information is true and correct and that the applicant is a resi ent Indiana and
owner/contract buyer of the aforementioned property on date application is filed. Oat/� `� -
i atur ene s full namer�
ul sident address of applicant(number and street,city,state,and ZIP code)
02 E.John St., Fort Branch, IN 47648 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)