HomeMy WebLinkAboutMortgage_Dye"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year �
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= FOR DEDUCTION FROM ASSESSED VALUATION
• Slate Fwm 0.3709 (R71 / 6-09)
S � Presai0ed by DeparlmeM of Laml GwemmeN Fuiarxe
INSTRUCTIONS:
b 6e fiied in person or 6y mail with the CountyAUddor or Counry Recorder o( fhe county where tAe property is bcated. 1 �
Filirg Dates: 7) Real Pmperty: Must file during the }rear for which the deduction is sought. IYI
2) Mo6de /Manufactumd Homes rpt assessed as Real Property Must fJe dunrg tha twehe (72) months
before March 37 0/ each year the deduction is soughG C
See reverse side fir additional insWcteons and qualificalions.
Appf�d�t (owrer occontraG by?r- see re�" (ons m reversi�°�. 1 1 • 1�1 .."
�R�
If turre m �emd's dAfurn[ Nan iha� ot app6cant. uda�ate Debw.
Name of matgageE or mntrari seller
aeer� m �s� � �r,�a
owneror
5
sbee4 �: s+ate. aM ZIP cotle)
�D��
someone
J
sPOUSe.
Auditnr
Retorder
Yes LJ No
6 Ne property in puestbn: MnuaOy AssesseE
❑ Real Property ❑ i4mually 0.ssessed
Oces appliqnt own pmperty in anY oNer If yes, whal munfJ? What Taring District? Has Na dtduGim been �epuesteE m property I
muntY in Indmna7 ❑ Yes ❑ No for curtent yrah
❑ Yes ❑ No