HomeMy WebLinkAboutMortgage_Schwartze"'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS To�mSAip Year
:__ , FOR DEDUCTION FROM ASSESSED VALUATION
� - �• State Fomf C3709 (R71 / 6-09)
�' ,.,, � Resmbed by Departmaril d Lad covertuneru Finance
File 09
INSTRUCTIONS: S
Fwm tded wah:
To 6e filed in person or by mail with the CountyAUditw or Counry Recorder o/ the wunty where the properfy is bcated.
Fifing Dates: 7J Real Pmperty Musf file dunrg the yearlor which !he deduction is sougAL �aC�ajifty qudiiDr
2) Mo6ile / Manulactured Homes iwt assessed as Real Pmperty.' Must file danng the hvelve (12J months .�°Q C� R er
6efae March 37 o/each year the deduclion is sought. , � � A���T �
See reversa side foraddifional insVUCtbns
Reco�d number Page num6er
^ �.�^��..1 ^ �
� ralue d rral property at al Fbnpage / Conbaa intlebteEn�s un
aCi 7. wier4 year Mardi 1. arrent year
l g �,aaa
ro. what is h'a / hu eraa shara ol inirlest?
name m remd'a ddfereni Uan Nat o( aOP���. �inte Gelmr.
artre of rtiortgagee or mntraa uller
l
Q n. J�
tldress o1 �a9ee or mntratl se0er (number and stree4 u�Y. ffi+e. ard LP cade)
Name o1 assignee or oNU awner w halder ot morigaga
Pderess ot as4gnee (numbar aM stree; ay, state,
yoperty in any oNer _ ' If yes. whal counp?
�\. 1(. ' U I ��7 Z �
i as of Mongage / Contraa'uWebteOness unpaitl as d Is Ihe appliwii We sde
date of appticaUOn kgal a epuitatle ovmeY?
[�y'es ❑ No
Ii awr�ed vritlt someorre other tlan spa�se. fid'�te wMt whom
�poprJry in 0��^: MnuaM Auessetl
a�openy ❑ a,N�• •-�ssed
e Ic 61.7-�
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