HomeMy WebLinkAboutMortgage_Young"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ovmship Year
: FOR DEDUCTION FROM ASSESSED VALUATION
;r- . :• Stata Fortn 63709 (R11 / 6-09) �
� PresaiCed by DcpaNreM of Loml Gwemrtieril Frwce
� F
wsrRUCnoNS:
To be fded in person w by mail with the CountyAuditw w Counry Recorder o! the county whe2 fhe property is locat� E �
Fding Dates: 1) Real Property: Must file durrrq Me year for which Ihe detluction is sought.
2) Mo6ile / Manu/actu�ed Homes not assessed as Real Prtiperty Must file during the twelve (12J months
befora Mamh 37 o/each yEar the deduction is soughG� . S( yl 7 Y4 -�� }S �'l/
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See reverse side for adtlrtional instructFons and qualifiwtions. �' $ i i( (o(� y_'j _3 � 3
Yy M I�
wsmsed rdue of rnal vopeny as m
MazM 1. aarent Year
tl ro. what is his / her eract share of inb
M iume m �emd is AiRefart than that a
name of mortgagee «mnvaa seue�
Address of �mtgagce w mntraU seAer
Name of assignee w oNu awner or hd
County AudRnr
County Remrder
nurnbu/ � I desoiDbo^ — // � - OO//D. �� -//O O� O -1 P/ nvmGel
r O Q\ V V
�ge! ContraG iMe6tr�r�5 unpaid az U Mongage / Contraa iMebteMess unpaid az af La the applirant Me sok
Mard� 1. a�rtmt date of sPP� kgal or eWitable wmeR
1 �a O O - -n ., �_n_ti,._
rr rc ownm vrim swneare ahm mman sw� 'S/3 /3--2�,
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rnber ard L �+N. s/ate. arM LP mde) �
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m mongage
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Mas Na deductim Deen re<
(Of W�1Ef11 j�P2i! r
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�rtmN. daY 1��
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is true and correct arM tha[ the applirant is a resident of IMiana aM
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