HomeMy WebLinkAboutMortgage_Stephens (2)^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_, s FOR DEDUCTION FROM ASSESSED VALUATION
• Sfate Farm 43709 (R11 / 6-09)
�' ,,,, f Pres�sibed by DepartmeM of Lod Gwemment France
ile
INSTRUCTtONS:
ae r b ry h woaenr' F«n,med�q:� Z012
To be filed in rson or b mail with the Coun Auditor o� Coun Recorder o! Ne coun where the �s located. J U IV
Fi/ing Dates: i) Real PmpaRy: Must file during the year (or which the deduction is sough[. � Counry Auditnr
2J Mo6de / Manufactured Homes rrot assessed as Real Praperty Must file dunng [Ae tweNe (72J monfhs f-T n
6e(oie March 37 of each year the deduction is sought. L-1- ��O� ef
See 2verse side Ior add�ilional instiuclions and qualfications. rtacn.� ,.,....._.
Taxuig oistrrct neyy��e-i regai aesrnDuon � _
*n �
Aaar.,eC ralue dreal WoOe+H as W Mortpa9e / Contraa "uWc6tetlness ui
�,y��h 1, pyml¢ yey March t, artent �
tt no, what 5 his / her e�d share of interest?
If �me on �ecwd s Eiiferent Nan Nat o( appGnnl, uMicate Gebvr.
'��y o{ �gag¢a p �pntract seller �j
J
Address of nart9agce w mnliact se➢er (number and sbee; ury, state. erM ZIP code)
Name of assgnee w other owner or hdder of rtwrtgage
AdC2s5 of asvgnce (num6er and street tlry, sfate, aM ZIP code)
az d Is Ne appl'kant Ne sde
legal or equilade ox+�e(.�
❑ Yes ❑ No
someone aher Can spouse. iMicate wflh whom
Is �he property in Question: MnuaOy Assrssed
❑ Real ProPenY � ?"^�!�Y �
Dces aPPlinnt own popeM in any oNer I If yes, what munty.� I What Tadfg Dist�t7 I Has Nis tleductim Ecwn requesteE an property I
munry in InO�ena? n Yes ❑ No for a�rent Y�n � Yes ❑ No