HomeMy WebLinkAboutMortgage_Hurst� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
-- • Stata Fortn d3709 (R77 / 6-09)
,' w. Presaibetl M OeVa�M of Local GovemmeN Finarr.e _
File Mark
INSTRUCTIONS: F�
b be filed in person w by mad with the CountyAUditw or Counry Recwder of Ne counry whe2 the property is t
Filin� Dates: 1) Real Property: Must !le dunng the yrear /or which tha deduction is wughL � �� ���
2) Mo6de / Manuladured Homes not assessed as Real Property: Must file dur"vg the hvelve (72J �nths
before March 31 o/each yearthe deduction is mght. �^ry Re��
See reverse side 7or additione! inshuctions and qualifications. MA
nssessea raNe d real v�v�v ffi d Mpr��
Merti� 1. ar'vR yrar Merd
tl ro, what k his I hu esaU shara of intereu?
tt name m remnC s dAlerent Nan Nat of appOCant, rtmEi[
I
Name W mrtge9ee m m�tract se4er r
J�
Addteu of martgagee ar mntraa seDer (iumihar eM s0
Name o1 essignee or oNa awner w holOer W morp7age
A4Aress ot asagnee (number entl s�eeL �Y, sfefe, ana
Oons ePpl'xant wm property in eny oNer
munrymindmna? n „__ n .�_
^ V lJ• JOCJ V7
Contract 4de6tednPSS unpaiC as af Monyaga / Cantraa
rtrem yenr` Eata of appRation
rdy, 9ate. end Z1P code)
catle)
If awned witl� samewre otl�er tlian spouse.
Is Ne epp(�1 ihe sde
kgal or equRade rnme//
n Yes ❑ No
Is tice propeny in Quesbon: MnueOy Asseised
❑ Real PmpertY ❑ Amwa11Y �ssed
aeobue � nc �-�.
ths deductim Eeen reGUrsted m piopelty
�c v�n r� .,_ _ n