HomeMy WebLinkAboutMortgage_Wallis"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun o�'shi ar
__ _ FOR DEDUCTION FROM ASSESSED VALUATION _
State Fartn 43709 (R71 / 6-09)
�' ,,,, Pfesaibetl M�G��ru of Lo�al Govemmeru Firence U IU
File Mark
INSTRUCTIONS:
To be lled in person w by mail wiN fhe CounryAUditw or Counry Recorder ot the county where the property is located. FOR`���g��`S
Fitirg Dates: 1) Real Properry: Must file durng Ihe year for which Ne detluclion is sought.
2) Mo6de / Manufac2red Homes not essessed az Real Property Mus! file dunng tAe twelve (12J months G BS C ITOR
belore March 31 of each year the deducdon is swghG Cou^p' Recordu
See reverse side !or addilwnef insLUCtlons end qualifications.
qppGwm ( ormwaaG✓Ye�- see resLirb'ons m re vde
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Key M1rt10er l legal
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ed+ra4ie aF reai PoP�Y es d ge/ Conbau intlebtedn¢s unpaid a5 of
1, aimY year Ma 1. airtent yrar
If m. what is 1� I her ezad share Ot infeJest7
It nama on 2mN s E'iRU�nt Uan Nai ot app�an; udibte Eelmr.
��a � �a�xe or ca,� seo«
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Mdress W rtartgagce w cantrad seAer (numbel end sbeaL �; sbte.
Name of assignee or oMer ormer m hdder of rt�ortgage
AEd�ass of assgiree (num6ei ard aCxe; dty, stele, and ZIP code)
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