HomeMy WebLinkAboutMortgage_Thompson (8)__�•STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year �
: FOR DEDUCTION FROM ASSESSED VAL�Q{J� ��
� State Fortn d3709 (R11 / 6-09) A■
�,.,� r Presaibed by Departmerd of Lodl Gwemmerd Fu�ance Jl
File Mark
wsrRUCnoNS: ��� 1 2011 F«,,,��a,Mm:
To be filed in person w by mail with the CounryAUditof or Counry Recorder of the e`e the property is located.
Filirg Dates: 7J Real Property Must file dunng the year for which the deduclion is sought. r �unry Auditnr
2) Mo6i/e / Manulactured Homes rwt assessed as Real Property MuSFfdd ��Ylhr�tt�ve (12J months
6efoia Mamh 37 of each year the deduction is sought. v v ❑ County Recorder
Seereversesideforadditionalinstructionsandqualfications. G�gSONCOUNTYAUDITOR
AnoGrent (owneror uY - sae rpshiptions on reerfdr5i[e) )( 1_ \ � n
rw, what Is ha / her e�cl
11 iwrie m mmtl ¢ Nflemnt Nan Nat of appGCant.'vMicate Debw.
Name or �ee or mno-aa se��e.
ACd2a o( mortga9ee ar mntract se�er (rnm0erarid svEel, ciry. stete.
morigage
a� sbeet a+y. slate. aM ZIP ootle)
Reco�! number Page numbg
7-d o/-0 1- 5`PD -D a� �oi 1 �b
ess unPaitl as of Mortgape / ConVafi mdebtedness �mPaitl as of Is Ihe ePP�� Cre mM
/V1� tlate of aDP�� � a eN+�mde �
vCJ C.J ❑ Yes ❑ No
k Me poperty in Qunstion: MnuaOy Assessed
❑ rt� a�o�M O n�uanyw�d
Dces epplk�ant wm pmperty in any oNU If yes, what cvunt�? Wtrot Ta�dng �5tnd? Has N5 detluclion been requestetl an pfopr�ty I
muM' in Indena? ❑ Yes ❑ No fw wnent year?
❑ Yes ❑ No