HomeMy WebLinkAboutMortgage_Deal (9)"'� �TATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNE • Coun 7ownship Year �
:._—
; FOR DEDUCTION FROM ASSESSED VALUATION
Stata Fortn 43709 (R71 / 609)
�' � PfeSaibeG by DeparimeM of Local Govemment Frence
File Mark
INSTRUCTIONS:
To be filed in person or by mail wilA the CountyAUditor or County Recorder of the counry where the property is located� � Tg '
Fil"mg Dates: 7) Real Property: Must fJe dunrg Ne year for which lhe deduction is sought. p�ud�r
2) Mo6�7e / ManufacNred Homes not assessed as Real Property Must file dunng fhe hveHe (12J monfhs ry+-�
befora March 37 0/ each year the deduction is sought. County Recorder
See reverse side for addrtional insWCf+ons and qualifications.
Key
RoP�`/
I/ ro, what h his / her exact share of interesi?
If name m �eco�d'a E'iHuent ihan Nat of aPpfrant, uM"cate Ceb�r.
�CD— 'Y�—L)
"eWebteEness unpaid az ot
Ndme of nnrtgagee ar mnVad seller ��// �
`
Address of matgagce a mntraG se0er (numbrJ and streef, ctiy, sta , ard LP mde)
Name a( azsi�ee w otha! owner or holder of mortgage
AdEress of assg�e (m+nibnr and street my. s+ate, antl
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Reto�d numDu
543-�C� BS��C,O�I
date
H oxmed wiM someone dher ihan spouse, indxate with whom
DITOR/d�j 9
pnt Ihe sale
�itade amer?
Yes ❑ No
Is ihe D�DPrtY in Ouestion: MnuaDy AsesseC
❑RealPropertY ❑.4nnualywssessed
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