HomeMy WebLinkAboutMortgage_Fritz"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS ou o s Year
_. � FOR DEDUCTION FROM ASSESSED VALUATION
, � � Sbta Form 03709 (R71 / 6-09)
,,.,� � PrewibeC M DeV��nl o( Lotal GovemmaM Finance
wsrRUCnoNS: FEB 2 6 g��a�`
Fam t�e0 wiN:
b 6e filed in person w by mail with the CountyAUditor or Counry Reaorder of the counry where the properry is located.
Fi/ing Dates: 7) Real PropeRy: Mus1 !le dunng Ihe yrear /or which the deduction is sought �,/�/ Counry Auditnr
2) Mobde / Manufactured Fbmes irot assessed as Real Prnperty: Must file dunrg Me twefve (72) m6nt/i�
6eto�e March 37 o/eadr yearthe deduction rs sotqht GIBSON C UN Y A IT��ry Recorde�
See reverse side (or addifione! instructions end quelifications.
MP�m (mmer or contrarl buyer- rastric)Ons m mverse v0e) /l . `.
Distria� Key
� �
e0 raNe d mal qoprlty as d
1. anPlrt yPar
ItIBI {5 �16 I�IEf !%'df15�1218 0� III{GIC
e m rem�d'¢ 61teRn1 ihan that d a�
W rtnrtgagee or ranvact se4er
- a-v 8- 03- 00,3, o�� -o a. s i o G
Martgag e/ Cantrea indehteEness unpaitl az of Mortgage / ContraG hWe6tedness unpald as ot Is Ne epplksnt Iha sda
Memli 1, artent yeer tlate of appGcatian kgal a equitade mmM
�� /7%�D ❑Yes ❑ No
�IIHb: �CfTK.
mntraG sWer (nunber end shee(
Name ot assignee v Uhn wmer w hdder o7 mortgage
�a� o, �,�,�, � �L �: �re. �
��������,Y�,�
�,� � i�a�?
❑ Yes ❑ No
Ordumon app�wed 4i C�e artnunt ot
20 2b
� � we cerury
Siprenire
penairy o( perjury
of Ne aforemerrtia
�
2
auNOrized Ey duy ezewteE Pawer olAtforney or Cy
wmeone othu fhan sPa+�. indrate with whom
Is iM poprJty in puestion: MnuaDy AssesSeE
❑ Real PfoaeM ❑ ilrmua�NASSessed
�t� ► Z � ���o c�
�F��.��y �
and Z!P code)
person (num0er aM sLeeS �1: state. aM ZIP tode)
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