HomeMy WebLinkAboutMortgage_Hobbs_^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
• FOR DEDUCTION FROM ASSESSED VALUATION
� State Fwm 43709 (R77 / 6-09)
S f PresaibeE by Departmenl of Local Govemment Firerce
�NSTRUCTIONS:
To 6e filed in person or by mail with the CountyAuditor or Counry Recnrtler o/ the county where the pmperty is l�ed�
FRirg Dates: 7J Real Pmperty: Mus161e duriig fhe year /or which the deduction is sought.
2J Mo6de / Manufaaured Homes iat assessed as Real Prt�perly Must h7e dunng the twefve (12J monfhs O�
before March 37 aleach yearthe deduction is sought.
See reverse side 7or adddional insVUCtions and qualhcafions. C
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someone dner van spouse. iMitate vntn vmom
I5 Cie VroDe+�Y in Ouestion: Mnua�y Assessed
❑ Real Property ❑ Armually Psse55ed
0.bbile Hame (IC 6
7avtg Dislrwt? Has Ihis deEUaim Eeen reQuested m propeM1y
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DeAUCOOn appoved'o� Cie amaum ot
20_ 20 �`������ 20_ 20_ 20_
signawre or Camb nuaitw CamN Date (nmffr, ear, year)
I/ We certify under ihe penalry of perjury that the ahove and foregoing infortnalion is We and mrrect and that the applitant is a resitlent of IrWiana and
owner / contract buyer ot ihe aforementioned property on date aPdiration is filed.
P�n aWaraetl Oy dWy exewte0 Power d AtfomeY rn CY I
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Pddress of aulhorrzed persd+ (number arM sLee; rity, state,
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