HomeMy WebLinkAboutMortgage_Absher ,. STATEMENT OF MORTGAGE GAGE OR CONTRACT INDES i EDNESS I C un y I Tonic I Yor
- FOR DEDUCTION FROM Ara=a,>=D VALUATION I _'I L E ()
Sate PP=4.17d(R11/603)
..:= Pr�loec by Deem eft dt,�Ga.unnat=ices
:The Mark
INST ICJN
Tc CUD c_ze15
�rued et r mai
..Tr,Dater 1) Rae!Property:eau&be=pied and dated ir,the-eren.iar year for whi=the dedu7nn c srugit
Must be fi'ed with the CoustyAnr@a-or County Re=nder of the mtmty where the property is it ❑ " , - •a e
on or before January 5 of the immetuatedy stn ecfrtg calends-yam
2) Mobile/Manufa=ued/low—s nal assessed as Real Property-Must file wdh the County Audit=a`the.
=only where the property is bid during the twelve(IZ)months before Mani;31 ce aaab year Mel BS• . t. • •- - ' ' -
dectutran is sought
ravers sick for adufdnnal insIntha s and ceralh aafons
Mgslie ZQCYe Pd, IA00 aloSher. M.Q4a>1-i L
'an';DimC msbm/i S dewier= t React rumba Pape rumba'
I' LP- t95-1Co -LAd3-�.%toe-00 i a° iSt 3T-to
.....e to rt need property a d I Nice tpaps/Cott lea unpaid a et momp=/Carm bar es et is foe sporices the cote
Nara;:,aarmry4a 1,ram=yea -9 romp=d=runt= I e
P 5 O_O
Inv,eta is It/he e�she d interest? r I t carnet C,min=other titan ❑ Yes ❑ No
�a>S=ate ram whom
I Ea fib e Coen�b ;;kkr��-l�t�ne prpm6 in Weser Aarua4y Asa=
! Read Property ❑Anorak/Assessed
t:'arre S aria saber t✓�Home(IC 6-1.1-7)
-men (tal.Ic Mori- a_ 6_,rv(cz_ (
IACE=at mengagee ar oer5ar a r=umber and aacQ gig afb and zemcis
I tw>e ce assrpwe er rare amen er Isaac ef n..
IAdores d aaipr=bulbs and a&.ety,slab end ZF=de)
awn property In my other E es,rata oomay1 I Vaud Taxing District? I F o been r , a or,
property
/ m yam?
❑ Yes ❑ Yes ❑ No
I COUNTY AUDITOR
IDeduct=:approved C the court ut
pp 20_ I 2D I 20 pp I 20 1 20
ISignature e Comp Auden Comity I Date(Harm:day,yarn
II/We=ray under t a penalty of omjtory that the above and foregoing idwmaion S true_and=rue;and that to=war is a resideC of Intharm and
ovnta/.aylhn.e buyer ct the atuentsttta,S property on fiat:ap S. r..a fi ad.
' M .. _ Den: day,1�
,. .......� � ��� � �! Gam- Date Q=: ....__ IS—
''It,.., (umber and serer.' biz. ZIP=Os)I nit • L 1m ` \Act lx to S\-odA- • n.tJ Lek rl log
Penton mbedd by may maned Power ot'A its'er by It 6 ;-.eL7 (not.®l:year)
Dab I Da
IAtkins d authorized p=as (number end meet,dtt Care,wd ZP rsade)