HomeMy WebLinkAboutMortgage_Sparks"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
FOR DEDUCTION FROM ASSESSED VALUATION
� State Fwm 03709 (R71 / 6-09)
�,�„ Presmbetl M Departmeril a( Loml Gwemmeiri Futante
INSTRUCTIONS:
To be filed in person or by mail wiN the County Aud'ROr or Counry Reaorder o/ the counry where Ne pioperty is locat
Fifhg Dates: 7) Real Pmperty Must file dwirg the year lor whirh the deduction is sought.
2J Mobde /Manufactured Homes rqt assessed as Real Property: Must fife during Me hvelve (f 2) marths
before March 31 of each year Ne deducYion is swyht.
See reverse side lor additional inshvCFOns and pualificafions. �%
�vape c( real P�D�Y as d
1, Curnnt ymr
n no, what Ys his I her eua share of
It name on'emrE e CAleruil tlfan 7
AW ��g e / Cantraa'v
Merrh 1. arrerrt yeer
utOitate Eebr!
Name of rrongagea or mntract seller l iYl.(.�-'��
Address o( mortgagce or mntraG se0er (numDer and street �y, sb�. eM i
Name o1 assignee w other owner w halEer of mortgaga /��
l�-X/�
AECre� ot a�sgnee (num6er anC atreet �Y, sla+e. eM LP oode)
Dces a�icant wm property in any oNer It yes. what muntyl
munryinlMianal ❑ Yes ❑ No
approred'ui ihe amoutv ot
�
���me U Camb Audhnr
i, we cemr,, ��a�. me
���
�o
ffi
� �,
W�2t Tadrg
,y of perjury Nat the above and foregoing information is [
aforemertboned p(operty on date application is filed.
I ` / . .
F ent aCdrass W app nt (iwmDer and sbeeC �}: state, antl LP code)
X ZJ� ��� �� � �.,,i- " �s
PeF..on auNU¢eE by Cuh/ exewted Power d Htt�meY � M IC G7.1-12-0.7
P4dr� of auC�o� person (number aM SbeeR ury. s�te. antl LP cotle)
Coun Aud'rtor
cDo �,1��'��.
Y� u No
Is prope�ty in 0��: �mr
Real a'o�erty ❑ � el
Has N's EeGUman 6een reQUesteE on pmpPny
� a^� �' n .,_ n
Dra���er NO.....��..�u�..
f , -
Card NO. ...`�.���4....... �
�Gl �a.Q� C� _
� L3
o� p,�onu�, a�r. r�n
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