HomeMy WebLinkAboutMortgage_Sievers"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
__ ; FOR DEDUCTION FROM ASSESSED VALUATION
Sfata Fortn 43709 (R71 / 609)
, f P2svibetl q' DeP��M of Loral GovemmeM Fuunce '
w.
INSTRlICTiONS:
b 6e filed in person or by mail wiM �he CountyAuditor or Counry Recorder o7 Ne counry where the property is locafed.
Fitirg Dates: 7) Real Pmperfy Must frle during the year for which the deduction is wught.
2) Mo6de /Manufactured Homes rrot assessed as Real Property Musf file dunrg !he hveNe (12J monMs
6efore March 31 of each year the deduUion is mught.
See reverse side for additbnal insGuctions aiM qualifications.
Appfimn�,`owneraroaritrd�'tbuyer-see�sbiclionsmre�e�e�� 1 'Q . �
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Assesse0 vaLe d rnal pmpaty as ot
1Memh 1. anmt yPar
tl no. what 5 his / Frer exa�Y sha�e of interrst?
tl narne on remrtl a Qdfe�art Nan that
(rortyagee or mntracl uller
J•�f0 x__�...d � l
m mo�
w oihr! ovmer w hdder at morigage
AAarPSS of av9gnea (number aM slreet mY. slefe.
Oces epplirant wm Woperty in any oNer
munrymlrMana? I-'I ..__
Gr.T��
cify, stete. aM ZIP code)
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Remrd mun6er
az
County Auditor
CounN Remrder
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swneone oNel Can sPO��. mdx�te with whom
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properiy in puPStim: MnueP/ A45e55ed
�i PfoPertY ❑ A!?°!aQYAae�ed
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