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STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
:L Sato Form 43709(R71/e-09)
Pr sorbed by Department of local Government Finance
File Mark
INSTRUCTIONS: — '
��1.whh ' 1
l0 6e filed in person or by mad with the CounryAuditor or County Recorder o!the county where the property k located- '�.I � � i.,
Fi7mg Dates: 1) Real Property:Must file during the year for which the deduction is sought. I '�' S . +.- -
2) Mobile/Manufactured Homes not assessed as Real Property Must file during the twelve(12)months
before March 31 of each year the deduction is sought. - ❑ County Recorder
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See reverse side for additional instructions and qualifications. •
Applicant(owners contract e�/ne,�raverse side) C
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