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STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun wns p ear
FOR DEDUCTION FROM ASSESSED VALUATION J
SYate Form 43709 (R11 / 6-09)
� Presaibed by Department of Local Govemment Finance
INSTRUCTIONS: �����0��
Form filed with:
To be filed in person or by mail with the CountyAuditor or County Recorder of the county where the properly is /ocated.
Filing Dates: i) Real Property: Must file during the year for whieh the deduction is sought. uditor
2) Mo6ile / Ma»ufactured Homes not assessed as Real Praperty: Must file during the tweive (12) months r,twA�r�I
before March 31 of each year the deducfion is sought. C3IBSO C N�Kt�v�� V�
See reverse side for additional instnrctions and qualiircations.
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