HomeMy WebLinkAboutMortgage_Sturgeon (2)^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
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FOR DEDUCTION FROM ASSESSED VALUATION
- • State Fortn 43709 (R17 / 6-09)
��' ,.,� P Presmbed by Depanmen� of Laral Govemment Firence
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�NSTRUCTIONS: F� �� �:
To be �led in person of by mail with lhe CountyAuditor or Counry Recorder of the tounry whe2 the property is Iocated.J U L cl 7�0, �
Filing Dates: 7) Real Property: Must file durrng the year for which fhe deducGon is soughf. � unry Audrtnr i
2) Mobife / Manufactured Homes nof essessed as Real Property: Must fiie dunng the tweHe (72) months �.
before March 37 0! each year the deduclion is sartPub. C.�J, t ounty Remder
See reverse side (m addifional instructions and qualificafions.
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A4gsW vaNe d 2al OmpertY az
Mart3i 1. anari Year
If no. wha� is ha ! her ezaU shart
If name on reco�d a diRerent thai
-�.,� ���--�OP-,�o�-oo�.b�d -a
Mard� t Qanenf �udeDCetlrmss unPaid az at dMOrt9a9 P� �
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thal o( appGranl, i�Micare bebw.
Nartm W mort9aBee a oontract uller , //
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AdEress of mort9a9ce a mntracl se�er (numhu and sn
Nym¢ 01 asvgnee or oticer owner or holder of rturtga9e
Addre'sseof as�s'z,p��ce (numb r aM saee tlty. state, a�
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Oces ePplitant avn P�7�Y in anY oNer
�� �� ��� ❑ Yes ❑ No
approved'c�Ne
e�cdy. sra�. aMLPCOde)
ZIP code)
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If yes. whal counp? What Ta�drg Distr'xi %
COUNTYAUDROR
2� � 2� � �- , 20 - , 2�
R¢mN mimCer Page numbu
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�yt¢Eri¢sq unpaid as of Is Ne appfrcznl tlx sde
Iegal w eWilade amef?
D QD� ❑ Yes ❑ No
i , indiqta with wham
Is ihe ProPenY in Ouestion: Mnua%ASSes,eO
�eal RoPerlY Q Mnualry A�ssed
MoWle Hatie IIC 61.1-�
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I I We certify under Ne penalt�f perjury �e above and foregoing intortnatlon is we and mrzea arw mai ��� ..r,...--
owner I conhaG buver of the aforemention property wi date application is filed.
P4drass of
ss W� ay� t(rwr7ber anG sheet, ary, state, rm
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Dy Auty esecuted Power af Attaney or by IC 61.7-72-0.7
red pvson (nurtibe�ad sbeet. c4y. state. antl ZlPCade)
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