HomeMy WebLinkAboutMortgage_Livermore^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count
� FOR DEDUCTION FROM ASSESSED VALUATION
' Slate Fortn 63709 (R11 I 6-09)
� f p��p� py pe�rtmenl of Lora� Govemment Frunce
�«.
INSTRUCTIONS:
To be filed in person or by mail with the County Auditof or Counry Recortler o( fhe wunry whe2 [he property is located.
Filirg Dates: 1) Real Pmperty: Musf fi1e dudng the year for which tha deduclion is saght.
2) Mo6de / Manu/actured Homes iwt assessed as Real Property Must file during the fwelve (72) months
befae March 31 of each year the deduction is sayht.
See reverse side (or addifional instructions arnl qualificatans.
"°°�?(awn¢�ormntraab seeresNUionsonrererseside)
,���.,,.�/'�/����C--� y- �,,.� � o��-���
� i nm�s ' .// KeY nimber / legal dewiPtion
Asseae� ralue d 2a17npe�tY as of
MaRh 1, axrent ymr
tt ro, what a ha / Irer e� share ot inU
I( rume on recad is dMerent lhan Nat a
'ame ot rtnrtgagee or mnttact se�er
Addres of mutgagee or mnbad seDer
of
- _ � 5- / 00- oo/. $j � - O �
Mor(gage / ContraG "udehtedness unpaid as ot Mortgage I Contract ude6te0� unpaid as ol Is Ure epp�tan tlm sde
NamJ� 1, wrtent year date of eppGCa�ion � a�� �^� �
00 ����'�� a d��y
� �,�. ���,a �n �,.--- '
1 � � 1
� ��( i"()U`-'�
— CP� � �
��a.«� .
Year
�C�!o�unty Auditor
iYl;OUnty��rder
applicant. mditate �eWVI
or Whu ownef or haltlb M mortgage
pp¢s appiimnt orm
munty in IMwu?
cdy, staie. aM Z/P cade)
rM stree4 �Y. �e. and ZIP a
any other � ��
Yes ❑ No
- a- S �vc� �4 �
Wlal Tariig District? Has Na de0udion Deen repuestetl m G�WenY
for curtent yeaR n.._ _ n