HomeMy WebLinkAboutMortgage_Trail"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
� Stale Fam143709 (R77 / G09)
� � PresaiDed by Departmeril of Laal Cwvemmenl Frence
µ File Mark
�NSrnucnoNS:
To 6e filed in person o� by mail with the CounryAuditor or Counry Recortier o/ the county where Ne pioperty is locafed. a
Filirg Dates: 7) Real Pmperty: Must file dunng the year /or which tha deduction is soughL C, Auditor
2) Mobde / Manufac2red Homes not assessed as Real PrapeRy: Must file dunng the tweNe (72) monfhs
6etore March 31 0( each year the deduclion is soughG ❑ �IY �
Seergverseside(oradditionalinsWCtionsandqual�cations. GIBS UDITna
se side) �
/1 G
�v�bu�K-. w i <o — .i —
nssessee vaLe �treal pov�v az d Mor�pa ye � cono-aa ir
Mard� 1. cwrnt yrar March 1, wrtent year
II iw, what's his I her exad share of interrst?
If name m mmtl s E'iitem�t Nan Nat of appfrant. mtlin� Eebw:
Name ot mortgagee or mntraG se0er
Address of martgagce w contraa seller (num6er aM sfreef, crty,
Name ot assignee ar other ovmer or halder af �rortgage
slree4 �y. slafe, antl ZIP ootle)
code)
Recort! number
�. �03� - �a � a
i as ot Mortgage / Cmvaa uW r�s wpaiE as of
tlate of ePW�� �
If rnmed wiN someore oNer than spouse, iMipte with who
sAt Ne sde
ita6le ownel/
Yes ❑ No
Is Ne G�cenY in aurstion: Mmuly AuesseE
❑ Rea� PfoveM ❑ tvmua�yassessed
Mobile Fiome (IC 61.
I[)oes applimnt wm prope(ty in any oNer ^ I It yes. wtiat munty? I Whal Tabfg DrsUict? " I Ha4 Nis tleEUCGOn Oeen ^uesteE m property I
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