HomeMy WebLinkAboutMortgage_Young (10)"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
Stata Fam d3709 (R70 /N-08)
` � PresaihedbyDepartrnento(LOralGovemmeMFirance
INSTRUCT10N5: Fle Mark
To 6e filed in person w 6y med wifh Ure CountyAuditor d the cavnty where the property is Mcaled�� ��� /
Flirng Dates: 1J Real Property: Must file dunrrg fhe year for which fhe deduction is sought.
2) Mo6ile / Manulactured Homes nof assesseC es Real Property: Must fde dunng tlie e 2) onths fore rcfi o/ each yee�
the dedudion is sought.
See raverse ade /ar addAional insWdions end qualficaGOns
k�Wicant (o»nar nfCY�i� aA'a � Rs��s m mvoraq sido) (� . E
� u��x�lrt �
�ed ralue d�I p(operty as d
7. aareN yea
ro. wfial ¢ ho / hm e�tl share d irtlerasYl
m �e�a 6 amarem uw�
' I W �/c/lJ -717 S'tJ�
f udebletlness unpaid as af Mortgage I CofQ(8t
_ ^ date of appluaSon
i�v
M awned with Saneo�re other
d mort9apea m m�tad sa�ar (mm6eranC sUOCI M'. �. aM ZIP
oB�er oviner u tnlder of rtio�tgapa
of asig�a (mirtmor and sN:W. ti�: sbC�. arW ZIP co0e)
Does aGO��t own PW�b �n anY dher
�,�„�,�ro��7 � Y� I
Deduaion aCCroved in Ne amourtl d:
zo� zu_
�! We
owner
Perew�
under� penalty
act bu r of Me a�
Pa�^
COUNTY AUDfTO
� 0l5 I d
apP� Ure sala
or ep�r.�ble o�vnaR
❑ Yes ❑ No
spouse.
Is tlie poperry in question: AnnuaN' Assessed
] Re�'Prorerry � nnnua�ylissessee
Mobile Fiortie (IC 6t.
bean rawasted rn o�weM
Dra�ver \TO...��.�.Q.......
Zo_ Zo_ ca��a �io. ..:.�.31�.........
� r, o_ �13��$,°.;
°.�b.� rf7°�c�`�
the above arW faregdng mfortnation is We a(W correcl and tha[ the a�cant is a resitlent of Inda�a aM
cuop¢rty on date application is filed.
Date (monN. daY. )'ear)