HomeMy WebLinkAboutMortgage_Lloyd"'�a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
.,�_ _� FOR DEDUCTION FROM ASSESSED VALUATION
� sr�a w�,,, aa�oe tR,i i s-as>
�' '✓ presrn'hed by �epartmenl of Lowl Gmemrtrent Friance
INSTRUC710NS:
To be filed in person w by mad wiN the CountyAuditor or Counry Recorder of the county whe`e lhe property is loca;�t,� F 2 �''
Fdmg Dates: 1) Real P�operty Must file dunrg fha year for which the deduction is soughG � Iv 3 County Auditor
2J Mo6de /Manufadured Homes rrot assesced as Real Pmperty Must fi1e dunng the twelve (12) marths
before March 3l ol each year the deduction is sought. � _ ��6a�b Recorde�
See 2verse sbde for addrtional instructions and qualifications.
0.ssessed �alue oF real pmperty av af
Ma�d� 1, amrnt year
rc ro, whal is nis / ner erarl sl,sa or interest?
�'I! II �// I 1a.7( M�
someone oUws than spouse,
Page number
unPaid as of Is Ne aDPl4ant Me sole
legal w equitable ameR
n Yes ❑ No
II IldlIIC Ofl f0C01[I 6 SMCfPlII N311 �I12I Oi dpPGGfI� RICItlIC bEIOW. Is ihe property in quesGOn: Mnuely Assessed
❑ Real aropeny ❑ a,mua�y wsu��
_ Mo�aa r� nc 6�.
nqrtgagce w mntreU seller (number
Name af asstgnee a othu orner or hdEar of rtqngage
asagnee (numberaM streeL tlry, state, and LP code)
Ooes a Plinnt wm prope�ly fn any ot�er tt yes. wha[ mun 4Yhat Tad D'atricCt Has this dedu�ian heen uested m pmpuly
munry in IMiaria? ' � Ye5 ❑ No � for artem yea(? �
❑ Yes ❑ Na