HomeMy WebLinkAboutMortgage_Beach_^' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun�
FOR DEDUCTION FROM ASSESSED VALUATION
• Smte Fwm C3709 (R71 / 609)
, Presaibetl M�Pa�M of Laoi Govemmerd Firance
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INS7RUCTIONS:
To be fikd in person or by mad with the CounlyAuditw or Counry RecoNer of the county where the property is located-
Fil'mg Dates: 7) Real Property: Must file durirg the }rearlor which the deduction is sought
2) MobBe / Manufectured Homes not assessed as Real Pioperty Must file dunng Me twehre (12J months
befae Maich 37 ot each yvar the deductlon is srxighG
See reverse side for addilional insuuUiw�s and qual'A'ications.
Ava���.(9N� �Y�� b+ryer -,aee m rev�rr�m ave) ' A J. � � �
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(qage / ContracT ude6ledness unpaiE as U M
tt no, what 4 h's I hr ema share of inte�est?
tt �unie m remrtl b Nffernn[ Cnn ihat W appOCant, mdiram
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Nama oF a�+ee u d�v awner w hdaer d rtnrtgage
Adarass of assignee (number and street d1Y, smfi, and
oosv epyimm oxn oioP�r in e�y other
counry m Ntlana? ri " r-� ..
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wnaz county?
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Counry
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Yes ❑ No
sPouse. wKate wm xmm
Is the WuGertY in Ouestio�v MnueDy Assesu,W
❑ Re� aroaertv ❑ ?±�!wag'ws�
Tarin9 O'strict? I Nas Nis deductian Geen re9uesteE m p�opeity
lor amlrc yraR ❑ Yes ❑ No