HomeMy WebLinkAboutMortgage_Thompson (7)"�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
� FOR DEDUCTION FROM ASSESSED VALUATION�
"—,� :• State Form 63709 (R71 / fi09) T��
,� 1 P�esaibed by Departrtrent oT Loral Govemment France u,y
g File Mark
INSTRUCTIONS:
To be �led in y ty ry ry F� �� ��
person o� b mail wiN the Coun Auditor or Coun Recorder o/ the coun where t�proq�M ���ted.
Filirg Dates: i) Real Property: Must fite durirg the year for which the deducGon is soughL J�1L �, J � County Auditor
2) Mo6Ae / ManuFactured Homes rrot assessed as Real Property Must fiie dunng the lwelve nths
6efo�e Maich 310( each year Ne deduction is sought. C.'J.� ❑ Counry Recorder
See reverse side for adtldional insWCtions and qualifications. _..,,,,,TnR
� � �+�.+�.L.� `
Key number / legal desaiption
MwtNasle / Contrat
Whdl IS h6 / 11Qf BYM2:1Nf8 Oi 1(li¢fF4?
If narne on recad'a diRe�en� lhan
w� m �onvas�
aaares o� m«ryavec «�mo-aa seuer
w aher owner w hdder
oi ass9nee (number ard sbee4 dry, s1s1e,
Deb�r
numb�
�mPaid as of Ls Ne ePP���
le9al w equila6l
❑ Yes
someone oth� ttan spouse. iMicate wM who�n
�`L�'
Isthe ropertyinpuestbn:MnueOyAssessetl
AIV1 ASSe55Ed
�rtY ❑ ModleMHart�e fIC 67.
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�,::,��.e,mZiP�i %NomPsD,v� �I�ET�ty J
AsN�c:�j M
catle) /� � CZ %(JJ
Does applicant awn yoperty in any other If yes. what munyl Whal Tai nY
�nry in IM"ara? n Yes � No
❑ No i