HomeMy WebLinkAboutMortgage_Estrada^�� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
,_ .� FOR DEDUCTION FROM ASSESSED VALUATION
. � , Stale Form 03709 (R71 / 6-09)
4' ,w l Presai6eE by DepartmeM o1 Laral Gwemmerk Fuiance
Coun Township Year
ie
NSTRUCTlONS:
To be filed in person or by mail with (he CountyAUdrtw or Counry Reoordei o! Ne counry where the property is located. N�
FiI'mg Dates: 7) Real Pmperty: Must fila during the year /or whicA the deduc6on is sought.
2) Mo6ile /Manufactured Homes rrot assessed as Rea/ Property.� Musf fi7e dunng fhe hvelve (72) months C.
before March 37 0/ each year the deducfion is saght.
See 2verse side (or additional inshuUbns and qualificafions.
I npp�ant (a.ne! ar miOaU bym� - see rest�r -'/ions on re.ersa sida)
r
Auditor
Recorder
legal desaiptirn Retard numher Page number
-! -�� -�ov-�o.3.��6-oaz8 ao,� SS
wtgage / Contrac[ iMebteEness unpaid as o( Mortgage / Contratl mCebtednes unpad as d Is i�e appfxsnt ihe sde
arC� 1, wirent Eate ot app�cation legal or epuirable v«ne/!
R� i.sD n Y� ❑ No
It �a. whal a hs I hef exact share 0I interest?
I( rama m recoN a CiRrmit Nan tl�at ot aPP��• �inte Eebvr
Name W mortgagee or mntrarl�ller
i
AOdress of mat9a9ee W
w oNer owner or ndaer ot moriga9e
ffi�,
aM street. dry, slate, and Z/P catle)
H owred with someo� other Ihan sPa+�. uNicffie WN
Is tlie prapelty m pu�n: Mnue�y Assessed
❑ Real Prope+lY Q Nmual�Y Pssessed
Mobile Hm�e lIC 61.
DI'1�5'Cl' l�j�..�v 1'
Card NO. ...S,.J�,.�2�......
Dces apptiont oxn propaty in any oNer It yes, what county? wnat ravig
county m Intlana? ❑ Yes ❑ No I �_