HomeMy WebLinkAboutMortgage_Monroe (5)�
^'3 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year
,,�_ _; FOR DEDUCTION FROM ASSESSED VALUATION
smce rbm .u�os fan i s�w>
�' ,,,, � Presrnbed M oeparmier¢ ai Lad Govertunent Fuianre
'e
wsrnucnoNS:
To 6e filed in person w by maB with the CountyAuditor or Counry Recader o( the counry whem the propeAy iskc¢�{ �A F� fl� �:
Fdirg Dates: 1) Real Property: Must (ile durirg the year for wNich the deduction is sought. �+�'+�'� 1 Y ZO � �unty Auditor
2J PAobde /ManuFacWred Homes irot assessed as Real Pioperty: Musf file dunng [he M21ve (f 2J rtronths r Coun Recorder
before Mamh 31 of each year the deduction is sought. �Y
See ieverse side foradditbnal insWctnons and quali�cafions.
AppGfap�{owire�w cono-a� buyer- see msm'rlions m reverse side) ITOR
Districl
�������
Ma�di 7, aeren[ year
tt m, what ts his ! her exaC share of inte�esl?
If name an mooN s Srtterent than Nat of appl
- d-08 - J-o3 _ oo �. Co9- G�-8
Mortqage/ Conbact Intlebtedness unpaltl as of Mortgaqe I Contra�l i`Mehtedness unpaid as d Is Ne a
March 1, wrtent Year date of appOCation�0 QO O �egal I
tt owned wiN someone otlter Nan spouse. indicate wrth whom
4 mdicate 6ebvr h the Property in Ques6on: Mnu
�� ��rt1' ❑ A oW e
Name of mortga9ee or mntrarl setler �/ �.
�
i .
Add2ss of mortgagee ar mntract seAer (numbe and sL
Name af assi9nee or other ownu or hdder of mortgaga
AAdre:s ot assigrreg (number arM,ctree4 �N: slate. anc
tinnt w.n p(operty in any other
Indw�a? ❑ Yes
❑ No
tiry, sta[e. and LP codej
� �
�� /
W�at Tarirg Disvirl?
COUNTY
Page number
y �3
Yes LI No
61.
Ihis Oetlumon been requested on P�Y
� re� ❑ Yes ❑
D�ucGOn aDCm+ed'oi Ure artmunt C: _' __
�_ � zo Za_ i�ou(�i,E, �.�,�,c,o ✓
�re ��„��� �,� 1I—y(�30
- I I We certify uMer Ne penalry of perjury that the above anC foregoing intortnalion
owner I wntrad Duyer of the afo2mentioned properry on date application is filed.
X F� �
Pe�wn
o/ aufhassed person (numberand sLeeL dry. s+ate, aM ZIP code)
�Y,��
��