HomeMy WebLinkAboutMortgage_Greubel"' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun ownship Year
:, _—
� FOR DEDUCTION FROM ASSESSED VALUATION
Slate Fortn43709IR11 /Fi09)
�' ,�,. PreSaibeE by OepartrneN o( Laml GovernmeM Fi�nce
File Mark
INS7RUCT10NS: '
To 6e (led in person w by mail wifh the CounryAuditor or County Recorder o/ fhe county whem the property is located. F u d .
Filirg Dates: 7) Real Properry: M�st file during fhe year /or which the deduction is soughf. C�. Ror
2J Mo6ile / Manufactured Homes rrot assessed as Real Prnperry: Must file dunng the twelve (12) months
6efore March 37 0/ each year the deducfion is sought ❑ Cou rder
Sae reverse side for adtlitional inst/ucMions and qualifications. GIB
App&ant ampi2U6uyer-seem�Lirlior�lpi2versesideL /1
n�svsm .aWe d real v�v�r as a
MaiCh 1. anah yea
1f M. Whd� 6 h15111Cf ts'JC� Sh218 Of V11¢ffl5t?
a�rent yeer
If �ame m remd is 6ftemnt ihan Nai al appi'icant,'vMinte bebw.
Name of mortgagee a mntrad seller
Mdress of mor[gagee w contrad seUer ( umi
Name o( assignee or ather owner or twlder of
ACtlress o/ assignce (number aM atree( cdy,
Does epyiorq own poperty in any oNer
munry in IMana? � r-
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NTaI Taidng D'tttrit[?
Recortf
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Yes U No
is IM property in question: MmiaOy Aaesse0
�Real ProPenY ❑ �^�Y�
Has Na EeduGion Deen repueste0 m OropertY
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