HomeMy WebLinkAboutMortgage_McKimmy (2)^�� STATEMENT OF MORTGAGE OR CONTRACT INDE
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s FOR DEDUCTION FROM ASSESSED VALUATION
n State Fwm 93709 (R71 / 6-09J
�' Presainee M�P��m d Loc� Gavemmerit Fiimnce
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Form wi :
k be filed in person or 6y mail wiN Ne CountyAurliror or Counry Recorder o/ the county where the property is located.
Fitirg Dates: 7J Real Pmperty Must file durrrg Ne year (or which Ne deduclion is soughL �`�. �'btl�
2) Mobde /ManufacN2d Homes rrot assessed as Real Prtiperfy Must file dunng the fwelve (12) rtwnths ` _
befae March 37 0/ each year the Aeducfiwr is sotrc�ht ❑ Caunty-� er
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.cr,R rP�R�n eiAa �or additional instnrctions and aualifications.
DeEuctlon app�oved in Cre amount
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SignaNre of Counb Autlilor
COUNTY AUDROR
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Counry
I I We certi(y unCer the penalry oi perjury Mat Ne above and foregoing infortnalion is true and mn
awner ( wntract buyer of Ne aforementioned property on date application is filed.
(owne/s hAname)
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Power of Aitnrt�ey ot by
sbte. andLPCOde)
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