HomeMy WebLinkAboutMortgage_Sullivan (3)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Yeai
__ • FOR DEDUCTION FROM ASSESSED VALUATION
.. Stafe Fortn C3709 (R71 / 609)
��w � PRStribed Ey DepartrtieM a( LoCal Govemmertl Finence
File Mark
wsrRUCnoNS:
To be filed in person or by mail with the CounryAuditor or Counry Recorder o! the counry wAere the property is Iocated.N 0 v �
Fding Dates: 1) Real Property: Must fde durhg the yearlor which the deduclion is sought � Counry Auditor
2) Mo6de /Manufactured Homes not assessed as Real PropeRy Must fiie during the twelve (12) months'-�}7
6efoie Ma2h 31 of each y�ar the deduclion is sought. nry Recordes
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See reverse side (or add'rfional inshuct'ans and qualifications. OUNTY A
Aypfiy{nt (owrrer m mntraC buyer- see rastrirlprtc m reverse side)•
af R31 PmPertY a4 d
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rnmDer / le9al AesaiDtion
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Addreu of nnrtga9ce a oontrad seDer (nunbar and sheeL �Y. state.
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�nt the mM
ritade owne(/
Yes ❑ No
_ I Is C�e D�O�Y in pu'stion: AmweBy As,essed
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naa�s w (�urwe. ena saeet c+ry. sr�m. �,n �v mae� o,�—
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Ooes e�nt ovm pmpcty in a�ry oNer tt yes. what ty+ Wlydt Taarg D'atrictT Has ih's deduction Oern requestetl m P�Y
counry m Intlana? ❑ Yes ❑ No for arrentYeaY.' � Ves ❑ No
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