HomeMy WebLinkAboutMortgage_Krieg/
"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townstiip Year
__,. FOR DEDUCTION FROM ASSESSED VALUATION
� smca � aa�oe (a» i s-w>
�,�. aresmbetl tr �Pe�� � �ow covemmeiu Fu,ance
'I a
INSTRUCTIONS:
To be filed in person w by mail wrth the County Auditor or Counry Recader o/ fhe counry wherv the poperty is Ip{.�t�. �
Fiing Dafes: 1 J Real Pmperty: Must fila dunrg fhe yeer for which the deduclion is soughf. 11 l.
2) MobBe / Manufectuied Hanes not assessed as Real Property: Must hle dunng Me lwehre (12) rtanMs
6efae MamJr 37 o{each yearMe deduciion is sought. yy/
See reverse stle lor addtionel in5fiiclbns and qualfipfion5. /� '��
noorra,i(owx.\«�°'�e'_:°°fsn;�u°` P.�:a°�� _��✓1 1/, .__ a�BSaN coU
����
�������
A/mU1 1. anrJ¢ ymr
It ro. what � his / tcer rsaa sliara of N�
If rwne m rtmd's Effe2nt Man Nat of aDpl
Nartre of rtnrtgagce or mnbaU sNkr
�
Address d rtnrt9agee oymncact se�er (num
. I �b ...
� c�(a-//-/5�/o%QO�. S��-oa7
Mortga9e / Contraa'udehteEr�s unVaid as d Mortgage / ContrarY mCebtedness unDaiE as
MarU 1, arte`tt YC�i r,. data of aGP��+
Nama d azsiFee or oCUr owner rn halder of mv's
�/
AEOrea W auignee (numEer entl srtee4 mY. sbte,
property in any
IR7
and LP code)
If yes. whal Countyl
vrith sameme
VJhatTadfg DistriC7
sPOUSe.
Counry Auditor
Counry Recorder
equim6le w�+wll
] Yes ❑ No
Is Ne O�DP+h in Vursoon: MmiaAY AaesseO
� Reel Pruperty ❑ Nmually 0.55essed
Has Ihis deduction Eeen re9uesteE m 7�Y
for aurenl Y�r r-i .. r-� .
�