HomeMy WebLinkAboutMortgage_Bedwell (3)"'n> STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year ��
FOR DEDUCTION FROM ASSESSED VALUATION
• S1ate Fwrn 43709 (R71 / 6-09)
� 1 Presaibetl Cy �epartment o1 Wcal Govemment France
i a
wsrnucnoNS:
To be (ded in rson w b mail vnfh the Coun Auditor or Coun Recorder o! the coun where the ro m' �
ae Y h N N a ae�N is �ocared.
Fding Oates: 7) Real Pioperty Mus! file dunng the year /or which the deduction is sought. Coun r
2) Mo6de / Manulacfured Homes rwt assessed as Real Property: Must file dunng the IweNe (12) months
betwe March 37 of each year fhe deduclion is saght A� Cooflt�R�der
cu�l
See reverse side !or adtlrtronal instnrclions alW qualificafions. __
�iv_rv�.
Assesed va4�e d real popeM1y az of AbRg3ge/ ContryaGr� irntle6[eEness
� 1. armnt year MamJ� 1. a�r�V �
1(l10. Whdl IS h6 I hPf CYdC Sh2f6 Of II11CIP51? � '
tt na�re m �eNrd is SAfertn� than Nat d appbmnt, mEirate hebw.
Name of matgx7ee a mntraclSeUer
nndren w mat5a5ee a oono-aa
oxnet or
"J�
Oces appliont ovm propaty in any oNer I If yes, �Mat
munry in Indona? � Yes ❑ No
az
Sp01150.
IS tM P�OeRY if1 G1125LM: MfIU30Y A45CSSM
❑ Real Properry ❑ Armually A5scs5ed
��
Distritl? Has Uiis dedudim Deen requnstetl m pmperty
tor current yna(.�
❑ Yes ❑ No