HomeMy WebLinkAboutMortgage_Barrett"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_. ; FOR DEDUCTION FROM ASSESSED VALUATION 4�
State Fortn 43709 (R11 / 6-09)
,�w ReunbeE by DepaRmertl M Loml GovemmerG Fnarcc
INSTRUCTIONS:
To be filed in person w by maii with the CountyAUditw or Counry Recorder o/ the counry whele the pioperty is located.
Filing Dates: 1) Real Property: Must file dumg the year for which the deduclion is sought.
2) Mo6ile /ManufaUUmd Homes not assessed as Real Property Musf file dunng the hvefve (12) months
befora Malch 37 of each year the deduction is mught.
See reverse side for add"rtionel instluctions arW qualificafions.
Mp� i�(� 6 J SGiG�s.,., n rerse sc� � 019 �
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Counry Auditor
�ounry Remrder
`- istr�G Key �fmC'i / kgsl desaiptim q¢�yy num6er Page rwmbef
- -/00- O�-3. �58-o a.� ao 0 8
Asxsted �ahc U mal popMy es d hbrtpage / Conbact intle6teEnass unpaid az d Mongage / ConVari uiEebteO�s �mpaN as d Is the eppGrant the mte
MaRh 1. arrnnt yeer Merch 1, wrtent yeer data of eppfrcatbn lepal W eQUilable ownM
� �i ��a nYes n No
Ii rq. what is his I her a�
I( narta m reowd is 6Rerrm tfan that o( aPP��. mdirate bebw
ormntraclseUer �
mortga9ce v
Does epplifant own
munry in InEanaZ
streeL �Y 5ate.
ntl stree4 �l: slate. and LP cotle)
.] � /� (.�i I � ^ �. - I ( � . ,3 (o
any aher If yrs, whet munty? What Tsang Oistrict7
spouse,
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nan� r� nc s
1as Na tletluUim Ecen re9uested m praprlty
hr auimt yeaR �__ �
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