HomeMy WebLinkAboutMortgage_Hardiman"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C Tow ear
_. ; FOR DEDUCTION FROM ASSESSED VALUATION
State Fwm 43709 (R71 / 6-09)
S�«. Presaibetl M DepaRrtleM of Local GovernmeM Fu�arcc
�r
wsrRUCnoNS:
To be filed in person or by mail wrth the CountyAuditw o� Counry Recorder o/ the counry where tAe pioperty is located. F� ��
Fifirg Dates: 1l Real Property: Must fi(e durirg fhe year for which the deduction is sought. . �a -� quditor
2) MobBe / Manufactu2d Homes rwf assessed as Real Propelly Musf file dunng the fweNe (12J months �"
6efore March 37 of each year the deduction is sought GI BSO C T'CoUUDR��
See ieverse side for addifional insWUions arrd qualifications. .
��, npamnt (owneror cy�traa buyer- see rewicnwy� m reverse side) �� � •
�Y %s
It rwr�a m rem�d "s tliRerent ihan [haf o( aDP��C �tl'uate Gelw.:
Name Of nKUtpagee or conVad seUer �
Address of rnrtgagee w mntrad seAer (num6er and stree4 cdy. state.
Name ot astignee w othu avmer m
stree4 �l: sta:e.
liram wm property in any oNer I tt yrs, what count�?
Intlana?
❑ Yes ❑ No
.o83�oa�
If awned wiM snmeone
VJhat Tari(g D'atrid7
legal
sPouse. irM�imte wAlli wlwm
rant Ne sde
ittable rnme(i
Yes ❑ No
Is Me property in Qurstion: MnueOy AtsessM
� Real Ptoperty � MnuallyAssessed
lias Na
tw w�re
�,.L^ �'3u7