HomeMy WebLinkAboutMortgage_Rexing°"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownshi ar
�_ FOR DEDUCTION FROM ASSESSED VALUATION � �
Stria Form 43709 (R10 /N-08)
� � P�ewiba0 by DepaM�en� dlaral GavemmeM Fina�
�NSraucnoNS: �UF� ��j ZQ09
To 6e fded in persan or 6y mad wi7� fhe CouNyqWilor d tfie county wfrere tfie popeAy is located.
tilirg Dates: 7J Real Proper(y.� Must fite dtning the yeer (or which Ne deduc6�on is soughG
2) Mobde /Manu(adured Homes not essessed as Real Property: Must fde dunig tlie hveNe (12) monfhs belwa.Macd� 31 o%eaM vear
fhe dedudion is soughL 4/(�s� r�' /�i""
seeieverses�deraraddmonarinsm�e;w.c�ndauarificarkn.s. G�gcONCOUNTY AUB�fi@�
npprrav�b��ro� ooN,act ary�y- sea m reve.m mdel
March i, cward yea
C no. whal is his / �er eratl shaie d iNere577
C reme on recortl is d'�arern Nan Ihat ot a771
r� d �,gagee «wn�aa seo�r
naarass d mongapee or mr�iraa sener (nuru
Nartre d assipfree or dher owrier a holde
AeOress ot asipirea (mnMeland stree4 �
Does aGG�I own pmpe�ty in arry allrer
mwrty in hdiara9 � Yes
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$V118iVfB LF C.OIlIK�' {�l1�GIX
I/ We ceAify under Ne penalty of p
owner / mntrad buyer of U�e aforen
si,na2ure (owr�YS rW ,ia„e�.
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FWI residant address d applinnt (num6er i
/'S�os f�f/ruJi�J
Persm auMor¢ed b/ duy ezeabd Porer d
Addtessdau�horaedParsan (nunDerandsl
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�rt¢aqe i co�e�aa mda
MarUi 1. wrteM year
W. uidicab babw-
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randsbeal oly, atafe, ad
o6a. �0 7-
e� ��va�e e: d �,+un�
saneo�re
meaness unlea as a is irre aPpram vie saa
� � legal or epuitabie o�vneR
" � ❑ Yes ❑ No
Owse.'u�dpte with wlwrn
5 Ihe popery m auestfa,: nnnuaq hssesmd
�R� �nr O �w,�iy�a
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aco 9- a9 i q
rode)
ion been �eVUesled on O�waM
❑ Yes ❑ No
20
it is a fesident af Inda� and
Date (monM, daY. Y�)