HomeMy WebLinkAboutMortgage_Knight'°'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
__ FOR DEDUCTION FROM ASSESSED VALUATION
State Fortn d3709 (R71 / fr09)
S,,,, Presmtea ny DepeNner�t of Lonl Go.ertvneiu Fuiance �
INSTRUCTIONS: �p�nr�
To 6e filed in person or by mail with the County Auditor or Counry RecoNer of fhe counry whe2 the pioperty is bcated. U U `��
FiNrg Dates: 7) Real Property: Must file dufig the year for which Ihe deduction is soughG � Counry Auditor
2) Mobde / Manufactu�ed Homes rat assessed as Real Property Must fiIe dunng the fweNe (f 2) months
6efore March 37 oleach year the deducfion is saght. /rF�„ ,d,��O��
See ieverse si0e foraddifional instructnons arrd qualfications, _._ __. ,,,,,, ,,,r.. � i in�rnt7
Asessed d mal �q/at of
Mazd� 7, year V
tt ro. what Fs his / hu r.rar2 shara of
If nazna on iecqd a E�iRerent Nan N
Name ot rtprtgagm or o traa se9e
MCress d mortgagce or contrad
Name d assiry�ee n oiher owner w
rniimCer / kgal desi5ption Vv
�-�7-o9-aoo..�
T�`!oi19a8e / Contraa intlebtetlnm unPaiE
svee4 �Y. stem.
svee; cdy, stete, aM LP mEe)
-o a/
•'•- �-:1.7-
����� I������
�gal or ewitade ow^ert
❑ Yes ❑ No
sPouse. cmE'� witli whom
Ig tl�eympMY in VueStion: MrweOy A�ited ..-
r�lC.
L! i�eal HoPenY ❑!4nn!�ailyA�s�
oourty ine�Pln�d�a� ❑N Yes�g ❑ No I� Y�• what muntyt I Wlat Tadng D'striG7 I� detlucEan Ex� O m O� I