HomeMy WebLinkAboutMortgage_Almon (2)^'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
_. • FOR DEDUCTION FROM ASSESSED VALUATION
Slate Fam 43709 (R11 / 6-09)
� -� presrnbetl by DepartmeM of Local Govemmenl France
�«.
INSTRUCTIONS: �
To be filed in person w by mail with fhe CountyAuditor or County Recorder ollhe tounty whe2 the pioperty �s t.
Fiiing Dates: i) Real Pmperty: Must file dunng the year for which the deduc0on is sought.
2) Mo6de / ManuFactured Homes not assessed as Real Property.' Must file dunng the fweNe (12) mont !� I�
6e(ora March 37 of each year the deduclion is sougAt. �'
See reverse side !a addrtional instrucGons and qualifications. C �
fq. W�12� 6 �16 � hCl 8F3Ci 5�182 Oi N}CfES}�
rc iwne m 2owa is cme�art wn u,a�
Name ot rtmrtqagee « mnvaa
Pddress of nartga9eP or contracl seuer
� CounryAuditor
8 �ZCountyRecorder
� �- /7 -0-3 - oo - O03 S8 .0 �.l 7�0
Mortga9e / Conbatt 4debteEness unpaid as of Mortgage / ContraC uMe6teMe55 unPaitl as
March 1. a�rten[ year Cate o( appGption . . _ `
or oth� owner or holder of mortgage
aeeress ot assi9�e c���• �a ureec �r. �re.
Does applinnt own populy in any
counryinlnd'au? fl .._.
y�.
$ORIEOIIE
( S `7 �
d Is �he aDW��t the sole
legal a eT+��Ne or+cen
❑ Yes ❑ No
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