HomeMy WebLinkAboutMortgage_Davenport (2)"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun�
_ : FOR DEDUCTION FROM ASSESSED VALUATION
� Sfate Fortn 43709 (R71 / 6-09)
S / Presaibed by DepaNnent af Lad Gwemrtienl Finence
INSTRUCTIONS:
To 6e filed in person or by mail wiN Ne CounryAuditor or Counry RecnNer of the counry where the property is locafed.
Filirg Dates: 7J Real PmpeRy: Must file dunng the }rear /or which the deduction is mught.
2) Mo6Ae / ManulaUUred Homes no� assesced as Real Properfy Must file dunng tha tweNe (72) months
befae March 37 of each year the deduclion is sought.
�
See 2verse sule�ur addiG"onal insfixGons�and qu�lific�trons. �,
�^t ( fY�� b�A�er m side) _ �_ �/l. . i n _ /1.-. -
Y rnal property at d
1'�
K 110. W�18i 6 �IR � i1Pl 2I2C1:11df8 0� Il11P12517
-1 �i-1 S- aa3-c
Cqntrart inde6tedness unpaid a ot
If nartre m remd 6 EiRerenl Nan Nat Of aOP��C �difate Eelow:
Name W rtautgagee or mntratt se4er
w wntraa seAer (nunbrs and sbeet, cdy. smte.
(number aM streel �Y. �te, and LP ootle)
,�.,'
1 �k �,d���
��a� R��
Recard number Page numCel
. 3g-oa� aI c�S
o� PP��+ 'uMe6tednrss unGaiE as d �ew eWitade �
❑ Yes ❑ No
:omeorre oNer Ihan spouse. ildimte with whom
Is ihe pmperty in Question: Mnua�y Assessed
❑ Real ProPertY ❑ ���Y. �� _
IDoes epplirem awn property in a�ry oNer I If yes. what munry.+ I What Tarirg Distrirl? I Fias �hrs detludim Oeen 2questeE m prapelty I
counry in InEiana? ❑ Yes ❑ No � w� �� ❑ Yes ❑ No