HomeMy WebLinkAboutMortgage_Houchin^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
_ ; FOR DEDUCTION FROM ASSESSED VALUATION
S�aF��,��R,,,�� FIL,E
� 1 Piesaibe7 Dy Departmenl of L.o�i GwemmeM Fuance
� Fle Mark
�srRUCnoNS: wyA
be filed in person w by mail witlr fhe CountyAUditor or Counry RecoNer o/ the�Q��yhe(ef�pqo perty is Iocated. F� ��j �
Fifing Dates: 1) Real Property: Must !le during the year for which the deduction iYlid'YghL Y L U I I ��� C�unry Auditw
2) Mo6de / Manufactured Homes not assessed as Real Property Must file during the hveNe (12) months
� before Ma�ch 31 of each year the deduction is sought C.'J.M,����� ❑ County Recordu
See �J (\
KeY �wmber /
�w
,�,a��,�wo,gn,�w �,ca,o-�aa
MazM 1. arterrt yPar 7, ai2nt yeer
II ro. whal R his I her e�a share Of intefest?
If �wrre on remrE is ddfe2n� Nan ihat W
or mntraa seper
ot mor4�agee or mntratl se0er (mxnber and sLee4 �l: stite. aM LP mtle)
Name of assignee w oNn owner or holder of mortgage
AEd2ss o( assignee (numDar arrd street �: slate.
Dces aPW� own WoPertY
munry in InOiarria? r
D�umon apyoved in ihe amount of:
GR7
20 � 20 � 20 _
RemN nu Page numEer
0-ba0•3��-�5/ o�Dll /f�ZZS
i as U Mongage / Contract'vWebtedness un7aid as d h Ne eOP�t Ne sde
date d aPPficatim legal w epuita6le ow�wli
� ❑ Yes ❑ No
If owne0 wiM somenre dha ttun spouse, iMrate with wlarn
Is tlre 7�Pe„Y in Guestion: Mnuallyl�ssesseE
❑ Real Roperty ❑ Mnualy AssesSed
Mobile Flatie pC G
—_� -- 1
I-I�uc Eu-'U, ���r+�Q- L
C�%A�°A �-
�
�o�N�A� a��� _ � ��5
Zo � �$. 750.�
�
TFW�citify und�r Ne penaly bf perjury Nat ve and (oregoing in(ortnaG
wmer I mntracl buyer of the afwementioned p rty on date applinlion is file�
Kull resitlent address of appfrant (num6erand sLeel. tity, state, and ZIP ootle)
� �o G� � Go<� S o�c,,i..../ �.
Pason auNORetl by dWj execu;etl Power alAlmrney or Ey IC G7.1-12-0.7
person (numberaiMStree4tlry.sta�e.eMLPCOde)
./ L� �`/, u
Date (rtonN, daY. Y��
Date (rtianN. Efi%Y��
�openY
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