HomeMy WebLinkAboutMortgage_Sevier (4)^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
:r � FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn 43709 (R71 / 6O9) '
�' � Preuribed by �epartmeM ol Lafal Govemrtrent Ffanca
INSTRUCTfONS:
To be filed in person or by mail with the CountyAuditor or County Recorder of the counry where the property is located. J U � fl��'�
Filmg Dates: 1) Real Pmperty: Must file dunrnJ the year tw which the deduc[ion is sought. � Counry Auditnr
2) Mo6de / ManufacNmd Homes not assessed as Real PropeRy Must file dunng the twelve (72) montAs C �
before March 37 of each year ihe deduction is sought. unty Recwder
See reverse�+tte for additional instruUions and quali�cations.
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�i M. W�1816 �I15 � �1Ef CS2li 5�13IF
I( nama on recotd is Eiflemnt Nar
that of applicant. iMifa[e beWw.
rime af mort9a9ee or mntract u0er .
Address of rrort9a9ce a rantract se� i
Name of assi9nee or Wher ownet or hddi
Ailaress ot aesignae (number aM sLeet
Does epptifam wm yopem/ in any olher
cou�LLyinlndena? � Yes
u� Iim amount
strae4 �N;
� I�9a9e / Convari c�tlebtedness unPaiO as d Is Ihe eP�l Ne sae
date ot appGCation /� /�y� kgal w equilable ovmeR
��/ / p (/ i1 ) ❑ Yes ❑ No
If owned wiN somea�e oihu than spouse. irMkate wfN wtnm
Is propertyinQUestion:MnuaOYASSesud
RealProperty ❑lvmuaOyPssessed
tlly,slate,anOLPootle), / /� � `/ , �O—� — � `T / // /7v
� � d(.0 7 coG
u y�. wtai m��y+ 4Mat Ta�drg OaUict? fws N� am� t� rea�estee o� v�r
I-1 u.. • fw arrent yeaR n Yas ❑ No
COUNTYAUDROR
20 _ 20 _ 20 20 _ 20 _
Sg�WreorCamNAUdimr \ I1/1 Cau^N '
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I I We certiFy under the penalry of pe�ury that the above ard tomgoing iMortnatim is W e a�
owner I conVad buyer ot the aforementioned property un date appliplion is fiied.
� Sig�uw Nu me) �
� Fup resitlen address of appGCant (number a slreet, tiry, state, and ZIP mrle)
��yyS S� n � �G � I
Puson auNOr¢etl G/ EWy ezewted Poxer d Attorney w Cy IC F7.1- 2-0.7 �
/�Adtlress ot author'¢Ed perso� (number a�M SneeL crty, 5Yd(e, aM ZIP code) .
20_ � 2�_
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