HomeMy WebLinkAboutMortgage_Menke"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
FOR DEDUCTION FROM ASSESSED VALUATION
•� ' �� of Laal Govemment Finance _
� File Mark
INSTRUCTIONS:
7o be filed i¢j�ERoI►�M��with the Co�nryAudiror or Counry Recorder ol the county wf�ere the property is lacated.
Filirg Dates' `I ji2�d1� Must file dumg Ne year /or which the deduction is sought.
2) Mo6Be /Manufectured Homes rrol assessed as Real Property: Must file dunry the tweNe (12J months
n� before�/Nar�{{ 31 �ach year the deduction is soughG ,
a�essea �a,e or rea� a�r as a
Marrh 1. aaren� year
Ii ra, what is na I her exar�
�.,..sr—�i '-
of rtartgagrs or cmvarl se9er
and qualfications.
� (�%��l�.cri7/X�J %� � %/
�/�/D -!�Oe�- OU/.
or�gage / Contra� e6tetlnes5 unpaid as of
Mard� 1 airtent
ot aOP�l "cmA'rate Oebw.
nea�ss o� rmtgasee «ca,o-an seuer c���
Name ol assi9nee w oNer oxrt�et or
aaaress o�
Does appli<ant own pmperty in any
munryinlMiana? ❑ Y�
0
__.i _/ _._ n_
K�v�»Q � �
Dl'11\'CC \�...0�.0��^......
- 9�3 �
C�fv \0 . .....................
No I I
/� � �
T+r''
County Auditot
: applirant Ne sole
or equltade oxneY/
❑ Yes ❑ No
vem �� Q�,esoa,: a,rv,aM wssessea
ProPertY ❑lvmuallyAssesSed
been re9uesteA on D�openY