HomeMy WebLinkAboutMortgage_Kissel (7)"'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS To vear
_ FOR DEDUCTION FROM ASSESSED VALUATION
• • Sfate Fortn d3709 (R11 / 609)
,' ,«. f Presaibed by DepartmeM of lnral GovemmeN Fuance
File Mark U � u
INSTRUC710NS: p L
To be filed in person a by mail with the CounryAuditor or Counry Recorder o( the counry where Me property is located. ����
Fdirg Dates: 1) Real Property: Must (le durirg tha year for which the deduction is sought � Auditor
2) Mo6�7e / Manufectured Homes rrot assessed as Real Properly: Must h7e dunng tAe hvelve (72) months � �
befora March 37 o/each year Ihe deduction is soughf. / `�Co�Rry Recorder
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See reverse side !or addilional instructions and qualificafions. GIBSO� � � v
t( mn 6uyer- revarse siC �
�Tawg Ois ' Key rwmber / �d number Page num
- �6 �I63, ��/�l�-7 / � d'�
Aaessed vahm d 2al PoP�Y as of MMgaBe / Contraa intleCiedness unPaW as of Mortgage / Con:ract'uMebteOness unpaid as d U Ne ePW�t Ne sole
Ma�d� i. aareN Y� MarG� t, a�rtern Ym data ol app�tion �v-� kgal or equitable o�neY1
�� 1 � %l��i . ❑ Yes ❑ No
i 110. Whdt LS h6 / h¢! EYdG Sh3fU W Ifl}¢l¢Sl?
rc rertre «, reoora a
rtitv[9agea «mntract sellu
mntract sePer (number and
o( assi9nee w oNer owner or hdder ot morigage
(numDe� aM sbee4 �Y. �fe. erd
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state, aM LP code) D I'�\�' er ..
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Dces aPP�imm avn p(operry in anY oNer If yes. whal cauntyt NTat __.. Nas Nis deEucfim Deen requesteE m propelty
munty in IntlFmu? (� Yes � No � fw artent yeaY.� ❑ Yes ❑ No