HomeMy WebLinkAboutMortgage_Nalley"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
__ .� FOR DEDUCTION FROM ASSESSED VALUATION
• State Form 43709 (R77 / 6-09)
S h�. r P2svibetl by DepartmeM oi Loml GovemmeM Frence
e
wsrRUCno,vs:
To be (led in person or 6y mail wiN the CountyAUditor or Counry Remrder of the tounry where fhe pmperty is loc�� 1
Ffig Dates: 7) Real Pmparty Mus( file dunng the year for which the deduction is sought.
2) Mobi)e / Manufaduied Homes not assessed as Real Pmperty Mus! file dunng the tweNe (12J months
6efore March 31 0/ each year tAe deduction is sought. •--yH
See reverse side !or additional instrucfions end qual�cafions.
MO6wnYlaW�� ar contrad buY4't see ¢stn/V++s m reverse sQfe)
ed rehe of real ProPemJ as d
1, Nmrt year
—w . a v
ContraG Udebtetlness unpaid az W Mortgaga / ContratY
i�nt yra� date of appGcafion
It ro, what a h's I her e�af1 share of intcrest?
11 nartie on remtl's diRerent Nan Ihat of aPp�an; i�MUate Debw.
Name oi mortgagee « mntract seller
�
Mdress of mortgagee or mntracc se0er (numbal and shee4 �+N. . arM ZIP
Name of assignee or other ovmer or hdder oi mortgage
If awneE wiN someone other than spouse,
County Auditnr
Counry Recorder
�mpaid as d Is Ne applkant Me sde
legal a epuitable vw�neR
❑ Yes ❑ No
d wMh whom
�ty in 9uestion: MiwaDy Assessed
a�ovenr ❑?„!��a�h'� . . _
Dra���cr NO....P.�(........
Address at assignee (number eM snee4 �Y. sm1e. aM ZIP catle) C` a 1• ��i O. ...(�([ I( 5
� �•........... I No
Oces applinnt rnm properry in eny oNer If yrs, what wunt�? W�at Ta�di ry
��,�����> ��a5,� �
❑ Yes ❑ No
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