HomeMy WebLinkAboutMortgage_LushSTATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun T s r �
_ ; FOR DEDUCTION FROM ASSESSED VALUATION
Stala Form 43709 (R71 / 6-09)
�' f Presm'bed by DeparbneM ai Loral Govemme�ri Fu�ance
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INSTRUCTIONS:
To be filed in person w by mail wiN the CountyAutliror or Counry Recorder of the county where the pioperty is located.
Flirg Dates: 7J Real Property: Must Tle during Ne yrear for which tha deducGon is sought. u ditor
2) Mobile / Manufactured Homes not assessed as Real Property: Must fi7e during fhe hvelve (12) mon�dBSO rtfil�
before March 37 oteacA yearthe deduc0on is srought. C`I= 1'Tty� er
See reverse side far ditbnal instrucfFOns and qual' caC ns.
Appfimnt w uye�- mre e)
Ta�uiy Distrid Key numEer / legal tl Yon Remid number Page numbej
�- �- -0ab /D 7�
Asetsed vWue d mal pfopeny as ol �AorWag e/ Canbatt irdehtedness unpaid as of Morigage / ContraU uMeMedne55 unp3id as d Is Ne Bpprrcani the 5de
N.aidi 1, arrent year Mamh 7. airtent yeer �YV� date of appGration kgal a equtlade ame(.+
I I I O� l.l_.l l ❑ Yes ❑ No
his / her exaU share of inrsesl?
If rurtie m iemN'a E'iP�gent Ihan Nat a( aOP�ni, u�Okate below
wn,e af �mcgayee «convact
Pddress of nwnga9ee «
w hdder of mortgage
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ACCress o1 assignee (ru+mDer and shee; ary, slate. an0 LP code)
Dpeg gPpti�N wm OroPenY in a�ry oNer If Yes. what muntyl
munty u� InOena? r-� __ r-i _.
If owned with somearre athel tttan spouse. indinte with whom
is Me PbPenY in Ouestion: MnuaDy Assessed
❑ Reai a�o�ertr ❑ nm,�ny ass�sea
rn prapeicy
❑ No