HomeMy WebLinkAboutMortgage_Pennington^h STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year Q
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- FOR DEDUCTION FROM ASSESSED VALUATION
n sate Fam a37w (Ftn � s-w>
S,� d p��3¢d py Departmen� ot Lnml GovemmeM Fu�axe
File Mark
INSTRUCTIONS: �,1 v �
To 6e filed in erson or b mai7 with the Coun Auditor or Coun Recorder of the coun where the ro �
P Y �Y b N P PBrtY is locatea`� �
Fifirg Dates: 1) Real Property: Must fi(e during the }rear /or which the deduclion is sought. unry Audimr
2J Mo6iie / Manulactured Homes rrot assesaed as Real Property: Must fiie duAng the hvelve (12) month� .�.
before March 31 of eacA year the deduction is sought. unry Recorder
See reversa side !or additional instrucGons and qualifications. N COUN7
M �owreror iM 6W /(//�.l� �iT" i2�'i'ii"i'-7i(A'�`'J
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amerR year Ma`tli 1, curtent yeer date of aF
m, what Is his / her emrl share oi intereri?
If name on remrd is dlfterurt Nan Nat
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contrac� se0er (num6er aM s7reeL �}: sbte. end LP code)
: ol assi�ee or othv ownef w hdder of crortgage
� f assigpea (numqp.r ay0 atree4 ri ; s' . nd
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applimnt own property in any oNer
yinlntliana? ❑ No
❑ Yes
ctlon apprwed 4i Ihe amwnt af.
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I I We cert'rfy under Ne p alty of
owner ) mntrad buyer ot the afon
7�N���" �elsh�lmme
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9 msidenl aCdr�t W app t(n be
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Whal Tavn9 �istri�
COUNTYAUDROR
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the above antl foregoing infortnaUon is We end
property on date applicabon is filed.
Cty, state. erM LP ootle)
ey awy erewree Power ornim�y or ey �c �,.
Address of aulhu'ved pr+"..an (numberand snee; pry, sfate, and7JP oode)
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