HomeMy WebLinkAboutMortgage_Zenthoefer'°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION �
• $tate Fortn 43709 (R71 / 6-09)
� PreufiDetl tY DePartrnenl W Loral Govemment Frence '
� � File Mark
wsrnucnoNS: � �
b be filed in person w by mail with the CountyAUditor or Counry Reco�der o� the counry where the pioperty is located.
Fil'mg Dates: 7J Real PiopeRy: Must file during Ihe year /or which fhe Cetluction is sought.
2) Mobde / Manufadured Fbmes not assessed as Real Prt�peRy: Must file dunng the hveNe (12) monfhs �
before Maich 31 of each year the deduction is sought.
Sea rev rse side for additional inshuctbns end qualifications. GIBSON
(owne�� conbaU b�' see �shir'tons m reverse sdej )
Remrdu
KAy nun0er / legel desaiption Rernd number Page numbel
� �.lv-Is-3(�-v�3-voo. v8- oo aio �-7
i rnal poperty az ot hbRBage/ Contraa ind�tetlrress un0ai0 az N MortBa9e I CanVacl @Webtedness unCaitl as of Is the aPP�i Ne sde
year Me�U 1. artent Y� Eate af aOP�� legal or eqWtade mme/1
103 ODU ❑v� ❑ No
! trer erart shara of interest7
If rwrie m remN a GI[e2nt Uan Nat af aPP�^L IMieate Eebw:
Name W mrtga9ee ar mntraU seller
mntrar� srLer (nun6e` ard sbae4 �YY. state.
«naaer w rtartgage
�ru,m�arena sneec �: smre, ena ur woe,
r,��z
Does ePplifant own propercy in any oUer
munty m Ib'vr�at f"1 .,_'
n wmm win, sarrew�e w,er ma� spouse.
a n� � c�¢.- �
Is � rcmeM in 9uestiorc MnueOy Assessed
C —_ ''w
DI'�15'�I' 1�'�.... �.���
Cal'd \'O. ........
I�� ........
� rr3,sss�
, , �,
Has Iha deduction Oeen reGUatM m p�opelty
(or Wrrent Yra(? ❑ Yw ❑