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<br />City #
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<br />2004181
<br />
<br />CITY OF FARGO ASSESSMENT DEPARTMENT
<br />Assessment Correction Form
<br />
<br />County #
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<br />Parcel Number ,) f':JU Ij ù" ; i)
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<br />Assessment Year
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<br />Block
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<br />Reason
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<br />Change Land From: $
<br />Change Bldg From: $
<br />Total Value From: $
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<br />True & Full Value
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<br />To: $
<br />To: $
<br />To: $
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<br />Property Use From:\~ CAE To: '.~) CAE
<br />Homestead c~ ~, , % ~dit -. - % Qwne.,rShi:, (if not full)
<br />
<br />Assessor, " t1 Date ;,;: .,', ./
<br />
<br />Stmt#
<br />
<br />Assessed (,50 T & F)
<br />Taxable (R=.09, A&C=.10)
<br />Homestead Credit
<br />Net Taxable Value
<br />
<br />Consolidated Tax
<br />Specials
<br />Drain #
<br />Total Tax
<br />
<br />Consolidated Discount (5%)
<br />
<br />Consolidated Penalty
<br />Specials Penalty
<br />Drain # Penalty
<br />Total Penalty
<br />
<br />Consolidated Interest
<br />Specials Interest
<br />Drain # Interest
<br />Total Interest
<br />
<br />asRpt701
<br />
<br />COUNTY USE ONLY
<br />
<br />Mill Levy
<br />
<br />SD# Payment Made: Y N
<br />ADJUSTMENT RECALCULATED
<br />
<br />ORIGINAL
<br />
<br />~_.-
<br />
<br />_._~--
<br />
<br />GASS COUNTY AUDITOR
<br />
<br />DATE
<br />
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