HomeMy WebLinkAboutMortgage_Englert^'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn C3709 (R71 / 6-09)
�' Presmbad by Departmertl or Lowl GovemmerLL Fua�ce
INSTRUCTIONS:
F
To 6e filed in person w by maii wifh the CountyAuditor or Counry Recorder ol fhe county where Ihe pioperty is bcatel� L �
Filing Dafes: 1) Real Property Must fde durirg the year for whith the deduction is wughL � County Aud'rtor
2) Mo6de / Manulactured Homes rat assessed as Real Properry: Musf file dunng the twelve (12J monfhs
6efae March 37 of each year the deduUion is sought � �N County Recorder
See ieverse side (oraddifio a'nstrtictions and qualifrcaf6ons. v lC� U
�npp�irant(owneiw uy�-^ea (se � e n I G�gSON COUN
/1/
Contraa intlebteEneu unpaid az of Mortgage I Cono-aG inCebteCness unpaid as d U �he
�¢� __ tlate af appGcaWn legal i
tt rertie m �emG a Eifterent Nan Nat af app6rant, mdkate bebw.
Name of rtqttgagee or mnvaU se➢er
Pddrea oi moRgagee ot
slafe, aM ZlP code)
�a,
Yes LI No
It owned vriN someorre othar Man spouse,
pmperty in auesfion: Mnuauy Assessce
�"�moCrty ❑ArmUalh)Assessed
�
D�'ai��er ,
,� o...ao��
�.''j�.� r .
,�o......4.�,q�.. ����� .
Ooes epplitane own ryoperly in any oNer I( yes. what munt�/.� What Ta�drg O'atriC? Has Nis ow,._ =rty
munryinlndianai ❑ No Porartentyeaf! � .. � No
❑ Yes