HomeMy WebLinkAboutMortgage_Miller� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
__ FOR DEDUCTION FROM ASSESSED VALUATION
srace Form aa�oe taii i uos> ,
, � PrevriEed by DeparcrtreN of Laral Goremmerrt Finar¢e �
�«.
INSTRUCTIONS:
To be filed in person or by mail wifh tha CountyAUditor w Counry Reowder of the munry where the property is located.
Fi!"mg Dates: 7) Real Property: Must file dunrrg the }rear /or which Ne deductlon is sought.
2) Mobde / Manufaduied Fbmes not assessed es Real Property: Must file dunng the nvelve (12J months
befae March 37 0! each yeer Ne deduction R sax7AG
See reverse side Por adtlitional instrucWns end qualifications.
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MEfess of asdgnee (numDerend sfi
Arent wm G�G�Y in eny oNer
IMiana? ❑ Yes
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Mor(yage/ Contraa Intlebtedn¢s unpaid as d
Memh 1. anrent ymr
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GIBSON
{ �(J� 7
(�uele �iditor
County Recorder
Otearress unGe�a as o� �rtrent me so�
� .egal a . - .de wrt�er.
[J YE� n Nr
,' imta with wMm _ -
�Is/�e property in question: MnuaOy Assezsed
lyl Real ProPertY ❑ MnuallY Assessed _._
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