HomeMy WebLinkAboutMortgage_Creek (2)� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship vear
:__ s FOR DEDUCTION FROM ASSESSED VALUATION
� Stafe Fortn 43709 (R77 / 6-09)
�' ,,,, � r�¢wioea oy oeveRmem ot �omt Govemmem Finance
File Mark
INSTRUCTIONS: M
To be filed in person w by mail wiN the CounryAUditor or Counry Recorder o/ the counry where tAe propeM is located.
FiNng Dates: i) Real Pmperty: Must file dunng the yrear /or which the deducGon is sought.
2) Mo6de / Manufactured Homes not assessed as Real Property: Must fiie dunng Ne Iwelve (72) months —
6efore March 37 0/ each year Ne deduclion is sayhG �
See reverse side !or additional instnxtions arM qualificatrons. fa IBSO�
IAppG (ownarmrontra�buya/'seemsniU�'ms re�rrsestle) C�./ /�
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I�a�dng DisviC Key numbe / kgal tlesaiptim [� p f Rem�
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natre
Nal W app�an�, Mditate Oebw:
Name M rtprtgagee «mntraU seller
Add� d narqagce m m�trad
Name W asvgnea or dher awner
ffi�.
Auditor
Recorder
Page wmGu
unpaiE as d I Is Ne appiksnt Ma sde
legal «equlbde awneR
❑ Yes ❑ No
v�neG wiN someom otl�er tlan spouse. InOicate with vAnm
s proprJty in Cuestion: MmiaM Pssesse0
Reel Pfopefty ❑ Annually0.s5e55ed
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AAGress of assignee (number eM snro4 �N', �te. aM ZIP tade) �
E 36 - a -� . � �� � � � /-� CoU75
Dces epN�m�� � WoP�Y in any oNa If yes. whal munl}? What Ta�d�9 � 1.:� 1�� �i Q. ...
munryinlndana? ❑ Yes ❑ No ..•••••.••••••..•• ��o
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