HomeMy WebLinkAboutMortgage_McCray"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ : FOR DEDUCTION FROM ASSESSED VALUATION —
• � • State Form 43709 (R71 / 6-09)
�' ,u. 1 P2sai0ed M Deparbnerit al Lod Govemment Fiiwica ���
File Mark
wsrnucnoNS:
To be filed in person w by mail with the CountyAUditor or Counry Recorder ot Ne county where the prope�ry is bcated. F� �� ��
Fitirg Dates: 1) Real Pmperty: Must file dwirg fhe year fi� which the deducfion is soughL � e(j 1 d i(ii� � Counry Auditor
2) Mob�7e /Manufadured Homes not assessed as Real Property Must file durl�7he A�efii�e7j�i) months
betore March 37 0l each year the deduction is sought. .❑ County Remrder
C.�.�y
See reverse side �� addifional instmcWns and qualifications.
AppGrant! 6uyEr' m reve+se siC;)
/�I d'YW
i� �t � ncvenr as m
amnt year
ra, what b Itis / Mr exad shara of intelast?
tt(wrie m �emd "s C'illerenf uun that o( avP�t uMifate bebvr.
r+ame or mwnAayee «
Addrea d rtnrt9a9ee or contracl seuer Imrnoer ana sbael �Y. stafe,
Name of assignee w och� m�ner or hdder of rtnrtgage
Mdress o� assynee (numDeraM stree; tlry, slate, arM LP code)
oiesoN couNrr
Mortgage / ConraC uWeMedness �mpaiE as d h Ne app4anl the sde
tlate of appGration legal w equitade ameR
❑ Yes ❑ No
tl owned wiN someone other ihan spouse, I�xate wflh whom
Oces appfuant av�n pmperty in any oNer I If yes. what munryR I What
��uy � mae�aa r—i .,_ _ n ..
mc C,�y
.r.......�.... �..�..�w... e...,..em, Assciv.y
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