HomeMy WebLinkAboutMortgage_Kissel (4)"'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ .� FOR DEDUCTION FROM ASSESSED VALUATION
� Sta[e Fwm 43709 (R11 / 609)
S Presoibetl by Department af Local Govemment Fuarce
� g File Mark
�NSTRUCT70NS: � � tl � �
To be filed in person of by mail with the CounryAudito� or Counry RecoNer o! the cou whe fi�a pyy 1 FO� �� �:
Fifmg Dates: 1) Real Property Must file during the year lor which the detluction is sought. � Counry Auditor
2) Mobile /Manufactured Homes rrot assessed as Real Property: Must fi(e dunqg /I�e � 4 e, f j2J�months
before March 31 of each year the deduction is sought. A U b [ tJ 1 ❑ Counry Reoorder
See ieverse side (or addRional instmcGOns and oualifications. . ._ _
o�so;a
��������
Mazrh 7, a+mnt year
If ro, whal 6 his ! her exad share of intelcst?
as
reme on
�«9a9ee w crno-w senei
� �-0'1�o3-oDl. Qi�-oa�
Mortgage / Contr�ct inde6ted�ress unpaM as of Mor�qage I Contrar3 i�M�
Marrli 1, arre�r7� �^ date of ePP�"""^--.
� U l%
If ovmetl wiN someorv
AAGress of rtnrtgagee w contract seDer (nuni6ri and sbee; cify, Gta�, aM LP codeJ
rvame o� assignee w omer awner
PLd2ss of assynee
Ooes applinnt rn�n pmpeNy in any oNu
counry in IMo(u?
❑ Yes
imon appovea m me artwum ar.
20 _ 20 _
1/ We certify under the
owner / mntrad buyer �
3iuq:re (owrie/s hAnama)
state, antl ZIP a
ffY�.
I No
couNn auorroa
20 � 20 _
Caunry
3t the above� fofegoing infortnation is V
d property d te appfication is filed.
dry, state. aM LP cotle)
aaaress ot aumor¢ea person (numcer arm snee; ary, state, ana ur cme7
�i
�o
legal
�I��SC� �
��2��� �
S��
� �S; l�I � .Crc�
���— ����I
i��
snt the sde
dtade wmeR
Yes ❑ No
0