HomeMy WebLinkAboutMortgage_McDaniel (3)"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun ip ear
__ FOR DEDUCTION FROM ASSESSED VALUATION
State Fwm 43709 (Rtl / 6-09)
�,�,. Presaibed by Departmenl a/ Lnml GovemmeM F�umx
File Mark
wsrnucnoNS:
b be filed in person a by mail with the CountyAuditw or Counry Recnrder o/ the county whe�e the pioperty is located. ���
Fitirg Dates: 1) Real PropeRy: Must file durirg the year for which the deduction is sought �o �
2J Mo6i7e / Manufactured Homes rrot assessed as Real Property Must fiie dunrg the nvefve (72) mont/iB�BS C N i Y i{
belore March 31 0/ each year the deduction is sought County Recorder
See reverse side 7or addilional inslructions end qualficafions.
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Mortgage / Cantract intlebtedness
Merc� t, wnenl yeer
tl rerte m rt.md'a QRlerent Cran Nat o( aDp�n; uMrcate Celow.
Name ai rtiortga9ee a mntraq
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ang awne� w nae� a monya9e
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(number aM atreeG ray, slafe, antl ZIP mCeJ
poes apptitant own wov�Y in anY dtin
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II/ We certify under the penalty of pe�ury Mat Ne above arW foregoing intwmation is true
owner I wntract buyer ot the aforementioned property on date applintion is filed.
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Full �esident atltl ol appfrant (num0er antl tlry, slate, aM ZIP �
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Pddresso(aWm�'vedpersm (numberaMSbee4�y.sbte.anOZlPmtle) .
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