HomeMy WebLinkAboutMortgage_Stormont"'na STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
_ - FOR DEDUCTION FROM ASSESSED VALUATION
State Fwm 43709 (R11 / 6-09)
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INSTRUCTIONS:
To be filed in persan or 6y mail with the CountyA�ditor or Counry Recorder of the county where the pmperry is locat 1-- Fam mea with:
Fiiirg Dates: 1) Real Pmperry: Must file dunng fhe year (or which the deductlon is sought. D E� 1 S Z O 1� County Audimr
2) Mob�7e /Manufactured Hortres rrot assessed as Real Properfy Must Re during the twefve (12J months
6efore March 31 0/ each year the dedurlion is soughG ❑ Counry Remrder
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Sea reverse side 7ar additiunal insWCtnons and qvalifications. � �
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Ma�M 7, anerrt year
11 ro. what is his / her exad share ot intervsi?
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ament year
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Name
of rtartga9ee w contrad seller (num6er
Name of astignee w othel owner w talder af mortgage
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