HomeMy WebLinkAboutMortgage_Market (2)"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7 shi
J_,_ FOR DEDUCTION FROM ASSESSED VALUATION
� . State Fortn 43709 (R77 / 6-W)
S,,,, P�rnted q oepamnem o1 Low Govammem Fuwce
wsrRUCno,vs: %�g�'�i`�`2 ZU10
To 6e fiied in person or by maii wifh the CounryAUditor or Counry Recorder o! fhe wunty where the property is located. F� ���
Filing Dates: 1) Real Property: Must fiJe durirg Ne yearinr which the deduclion is soughG ��o,,s�p�� Q��p�
2J MobAe /Manufacfured Homes not assessed as Real Property: Must fiIe dunng the nvelve (12) months '" ��°'
belore March 31 oleacA year the deduUion is saght GIBS N UNTY�A���
See reverse side /or additional inshuclions and quali�catiars.
T' D' ' � Key rnrcnber / legal desaiption Remrtl numGC Page numCa
d�/ - a-OGC� ��f5` oo O
Asesai vahx d rea17�P�Y a d A/oRga8e / ConNatt'udebte0r� un0aid as of Mangage I Can7aa fiMebtedness unDaid as d Is tlre aPP�� Me sde
�.taU 1. anvn ymr Ma� 1, (a�rterrt yrsr aam ot aDP� � a�e �
O OD ❑Yes ❑No
tt ro. what tr his / he� tsa�Y shara of interesl? H owned with someone otMr than spouse. udimte wiih whom
If rwre m n.md is QAlemst Nan Nal N aOP��i. uidio'e belaw: is Me O�P�Y in Qursnan: MnuaBYASSesseO
P21 PfoPe�Y ❑ ��Y�
AAOMIe Hart�e C 61.1-7
Name of matpagee or contraG selltt /� '
�
Addrev of mor[gagee ar mntrati seDer (numbe� ard stree4 �ly. state. and ZIP code)
Name ol assignee w oCres ovmer rn holder of moriga9e
PdCress ot assignee (number antl stree4 �; sbte,
prope�ry in any oNer I It yes. what wunq? I What Tapm� D'strict? I� Ce�uOin+ Eean requesled m praperty
❑ Yes ❑ No ❑ Yes ❑