HomeMy WebLinkAboutMortgage_Cummings (3)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count
FOR DEDUCTION FROM ASSESSED VALUATION
State Form �43709 (R71 / 6-09)
� w. Presm'beC M DePartrnerrt af Lowl GovemmeM Friance
INSTRUCTIONS:
b be Red in permn w by mail wiN the CountyAud'Rw or Counry Recorder o/ the munry where the pioperry is located.
Fding Da[es: 1) Real Property: Must hle durng fhe year lor which Na deducfion is soughG
2) Mobile / Manu�actumd Homes rat assessed es Real Property: Must file dunng the hveNe (72� months
betae March 31 0( each year Ne deduction is saght.
See reverse slde 7or edditionel insLUCliwis ar�alT'ications.
Y mal poperty as
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�! ConSaa irdeMed�s unpaid az af Mortgage I e
arterR Y� aam or aVP�� .�
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om��n zov�w�a m ma �,�c m
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� I/ We certfy under Ne penatty of perjury tl._. _._ :._........ ti..��� �y �nmrtnavon is we end correc
owner / contrad buyer M Ne a(orem)n{ioned WopertY on date aPW�ation is filed.
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Is Ihe pmperty in Ouestio
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