HomeMy WebLinkAboutMortgage_Forney^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ = FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn C3709 (R71 / 6-W )
� � Presaibed �y DeVa�M of Laal Govemmerd Fu�ance
Fle Mark
INSTRUCTIONS:
To be filed in person or by mail with the CountyAudiror or Counry RemNer o/ the county where the property is located. �
Filhg Dates: 1) Real Pmperty: Must file dunng Ne year for which the deduclion is soughG � q�d��
2J Mo6de /Manufectured Hanes not assessed as Real Properly Musf fiie dunrg the tweHe (12J months
6efore March 37 oleach yearMe deduction is sought. ❑ �d�
See reverse side lor additionel instructxms and qualifications. G I BS
I value d real p�aqstY av of
cvma year
W�12i 6 �1R � i1Cf 'Vdd 5�1818 0� Ill(PJPSI�
_o _ 03-00 l/ o_o °� S(o�
Mortpage / Coniraa IrdebteEness unpaid as of Mwt9 e/ Conttatl mEebtedness �mpaid as d Is �he appli�ani Me
Ma`tl� 7, wrtent ynar Eate af appGcatnn legal or epuita6le owneR
SO D ❑ Yes ❑ No
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It nane m remN is Qrttumt than Nat of aPp�+t, "uqiqte Delow
Name a mortBa9ee n
rtpRgagee or mnbaU seDer
ormer rn hdder of mortgage
tif}; 5fa:e.
of assynce (number eM sbee4 mY. �fe. entl LP cade)
Does e�itlnt own property in anY oNer I If ye5. what munl�/T I VJhat
counry in Intlana? I"I ., rl .�
6 the propeny m Quesoon: MmiaDy As..essed
❑ Rral ProPeAY Q Mnually Assessed
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