HomeMy WebLinkAboutMortgage_Simpson•� STATEMENT OP MORTGAGE OR CONTRACT INDEBTEDNESS Coun
_._ FOR DEDUCTION FROM ASSESSED VALUATION
� State Fortn 43709 (R71 / 6W)
,„r Re5m0eE M DeparbnaM of Loral GovemmeM Fuante
INSTRUCTIONS:
To 6e filed in person or 6y mail with the CourrtyAUditor or Counry RecoNe� o/ the wunry where the property is located. S
Fding Dates: 7) Real Pmperty: Must file during Ne year lor which tha deduction is sought
2) Mobile / Manulactuled Homes rrot assessed as Real Property: Must fi!e dunng the hveHe (72J months
before March 37 oi each y�ar the deduction is soujht —
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See reverse side 7or�itional inshuctions and qua/ficafior�s.
���.MP�nt(owrerm yrYer-.seem�smreverse ' ) _ _ Gf6$Ofi
tt narna m �emN n Eifierent than that ot app�n4 ��� be�awc
Nama of mortBaBee ar wntraG seller �—
Mdtass of �mtga9� v
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stefe, entl LP catla)
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Auditor
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�a «em,nawa o�,�n
❑ Yes ❑ No
someone oNer than sPa�. mdiqte wtth wtrom
Is Ne property in puestion: Mn�a%Atsessed
� Real Ropetty ❑ ArVtually Assessed
Oces eoonrarV wm property in any aNa tl yes. �M�a[ wuntyt W�at Ta�dfg OstriU? Nas Na deduman Deen �e7�PS1ed m P�Y
munryinlMena? ❑ Yes ❑ No tora�rernYeaY? � Yes ❑ No
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