HomeMy WebLinkAboutMortgage_Harvey^'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
:. —
� FOR DEDUCTION FROM ASSESSED VALUATION
~ StateFortn43709IR17/609)
�' ? PresCribetl by Department of L0��1 Govemmerit FrtHnce
F'
INSTRUCTIONS:
Farm filed wi�h:
To 6e filed in person w by mail with fhe CounryAuditor o� Counry Reoorder oI the county where the pioperty is located. ����
Fifing Dafes: i) Real Property: Must fik dunng the year for which the deduction is soughL i��
2) Mobde / Manufactured Homes nof assessed as Real Pmperty: Must file dunng tAe twelve (72J months
6e/ore March 37 of each year the deduction is sought. �. N ecorde�
See reverse side (a add'Rional instrucfbns and qualifications. V
npp5nnt(o�vrierumntraa�yer-s mrererseside) ( � TYAUDITOR
Record
ctl rdue of real WaPertY at o( Mort�age % Contract'v�tlebtetlnPSS unpaid as d Mongage I Conva�Y mtlebtedness �mCaid az of Is ihe aPP��t Me sole
7, aamnt ym MarM 1. �.(�� Cate oi app�ication legal w equirade amel�
��� , / )/)// ❑ Yes ❑ No
If ro. what fs ha ! her exarl slure
If �urtie m rtmtl s 6tfefnfl than ihat d aPP���. �inta belvx
a conaarl seller
o( mortgagee w contrsct se�er (number en0 streef, cCy, stale,
Name M assignee w othu owner or hdtler of nartgage
MEmss ot assignee (num6e� aM stree4 �y. slale. aM ZIP cotle)
with xiwm
Is the P�Gert1' in Ouestior� MnuaDY Assesse0
� Real PtoPeKY ❑ !����Y �
Does appl�nt bwn populy in any oNU I If yes. what counry? I NTa� Tadig District? I Has Ns dedWion Deen requested on property I
,�nunry in Ine¢na? ❑ Yes ❑ No for wnent yraY.+ � Yes ❑ No