HomeMy WebLinkAboutMortgage_Byers (5)"' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
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FOR DEDUCTION FROM ASSESSED VALUATION
�� Sfata Fortn 43709 (R11 / 6W)
, PreuriOeE M�M o! I.ocal Govemmerrt Fuw¢e -
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INSTRUCTIONS: n
To be filed in person or by mail with the CountyAuditor or Counry Recwder of the counry wFiere the property is bcatedl C T
FJing Da[es: 1 J Real Properfy Must file dumg fhe year (or which the deduction is wught
2) Mobde / Manufadured Homes not assessed as Real Property Must file during Me hveHe (12J montfl5�
befora Maich 31 of each year the deduction is sought. �%%
See reverse skle for additionel insLVCtions aM qualificaUons.
AovGr�nl fowra� or mntraC buver- sae mstiie0ura m ieverse si1e1
Counry Auditor
CounN Recarder
Tmong . -_ _ Key imnCC / le�al d�� {� RemN�number Pa9e numCef
a6�/ -/ts-3a3-DOO. f�d�-o�� D 0 ' 44�
A�s¢sed rahre d rr�l O�P�Y as d Mortp age/ ContraU'udebteCness un0� as of MMgage / Contrad uMebteOness �mGaid as ot Is Ihe aOP�^� the mle
Me`N 7. ar'ent Y� Ma� 1. arrnnt Y� data of aOP�� k� a eWitade owrwfl
5 � � ❑ Yes ❑ No
tt ro. whet is hi5l her emU sharB of inteJesl9 If awneC wiUlSmieone dhar tl�an spaae. mdir2t8 WN wlrom
If nazne pt leWtd
.� :�.- -'�i
d mortgagee or mntrad xAer (number and streeR tkY• smte.
ot assi�iee u oNer owner « ndaer
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propefry in auestim: nnnueay wsessee
� �P�Y ❑ ���Y �
D 1'811' C 1' �r 0 . . ��. �. � . . . . �.. . ..
Nnarass m ass�ee tn�,mbe� a,e streec �: re. a%n�? �?' '.1L0�-d� , �_l �i U
n
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Dces e�ifant own pmperry in any oNer If yea, what counfJ.� WAat Tad�g D'stricl? ,� �� [��
counrymlrMana? ❑ Yes ❑ No ).J. ,—, . .— 1
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