HomeMy WebLinkAboutMortgage_Murphree°' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
:r_ .„ FOR DEDUCTION FROM ASSESSED VALUATION
Sfate Form 43709 (R11 / 6-09)
�' f P2sriibed by DePM�nl o( Laml Gwemmer�t Friance
8 FI rk
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To be fiied rn person w by mad wiM tha County Auditor or Counry Recnrder o/ the county wAeie tfie property is bcated.D E C 1 �� �
F�7ing Dates: 1) Real Pmpeily: Must file durirg Ne year lo� which the detlucLon is sought � County Auditor
2) Mo6Be /Manulactured Homes not assessed as Real Pmperty Must file during Me tweNe (12J marths
betae Maich 31 of each year the deduclion is soughL "}n µ Q��nty Recorder
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See reverse side foradditional instrucWns arM qualifications. �,��TV i �I70R
APP�nt(owneraconlraCb//'�1 r-seerasLirL'ortsmre side) "��•••••.. -
1 /s.�ol� n�il 11 fi�ii4 .
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AR¢sed rahc dreal D�rtY as N Mortqa ge / Contraa "ude6te0�xss unF
MarUI 1. aRMt Y� Me� 1. 9�'��JTe� �.�
rc�. �� � ms i ner e�ma swe or m�n
H name m�ecpd's Eitlemnt ihan that o1 applkanf, 4Mifatc 6elow.
r�a�e a �wrtgaqee «ca,c�a uoe. C
Addrea of rtaryagee ar mntract se0er (numbri and sbeet �l: �.
Name of assignee w othe� owner or holder M nqrtgage
naaress
and LP code)
`�� Remrd wmbri Page rwm6er
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��aPP�� "vdebted�ss unpaitl a � ��t �
❑ Yes ❑ No
somenne other ttun spouse. indimte wre, wron,
IS Ub W�OMY 111 QtIC$ONI: MIW3�`I K4CSSC�i
nResJ Pr.v.e.w. f1 •_—"- I
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Dra�t�cr NO....... _
Card NO. . � � �Z.........—
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I� 8'DW� own WoPenY in anY oNer I If yes. what munry// I Wtat Tarirg D'strk[? I for auient�YraR �� � �� � NO I
❑ Yes ❑ No