HomeMy WebLinkAboutMortgage_Kirkpatrick"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS T Year
__ .; FOR DEDUCTION FROM ASSESSED VALUATION
� . � State Fortn d3709 (R71 / 6-09)
�' ,.r � Presaihed by Department o( Loml GovemrtcerLL Fnance
iNSrnucnoNS: DECF�� 09
To 6e filed in person a by mail wiN the CountyAUditw or Counry Recorde� of the county where the pmperty is bcated. F� m� �:
Filirg Dates: 1 J Real Property: Must hle dunng the year tor which Hie deductlon is sought.
2) Mobi/e / Manufactured Homes not assessed as Real Property Must file dunng the tweNe (12) months �< ry�a���
6efore Mamh 31 at each year the deducfion is mught C ry Recorder
See reverse side for adtliliona/ instruUaons end qualifications.
pIBSON ITOR
'�,,App6rarp'mtmerortantrdUO✓Ye/-=¢e�esnit8msop/ewrsesida). . � ' � ' ' n
Key numErr / legal desaiption
2�-��- 3�- Yo3-
Mpr(p�ge / ContraG iMe6tetlness
Marr3i t. airten[ yeer
ID� So�
rc ra. wnaf Is Ivs � her eraU snare ot intei
If nartre an remd is diRerent than that of
Name at mwtgagee or conuaU uller
Nama o1 asshjnee w
6ebw
mntraG se0er (nwMer "end sW eL �+b. s+ate.
mortgage
sfete,
' Record numbv
�o. 7 / o- oo ao0'
as of Mortgage I Contrav inEeMeEness unpaid as d I
Eate of appGntion I
spal5e,
Is ttce perty in puestion: Mnu�
Real Roperty ❑ Armual
M1bbile
Page num0u
Co�Ey
ves u No
Ooes e�imn[ wm property in any oNer If yes, what muntyl What Tari� DistriU7 Has N's deductim Oeen requnsted m prapGty I
counry in InEaria? ❑ Yes ❑ No for wrtent yeaR ❑ Yes ❑ No
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