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<br />CITY OF FARGO ASSESSMENT DEPARTMENT
<br />
<br />City #
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<br />2004184
<br />
<br />Parcel Number
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<br />Assessment Correction Form
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<br />County #
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<br />Lot
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<br />Addition
<br />
<br />Name
<br />
<br />Address
<br />
<br />Reason
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<br />Assessment Year c" ',/,' ,,'
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<br />Block
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<br />True & Full Value
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<br />Change Land From: $
<br />Change Bldg From: $
<br />Total Value From: $
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<br />Property Use From: \ R¡ CAE
<br />Homestead Credit: , i ~" it, "
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<br />Assessor .ø;¿ '- ~
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<br />To: $
<br />To: $
<br />To: $
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<br />To:
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<br />ß) C
<br />
<br />A
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<br />E
<br />
<br />% ownership (if not full)
<br />Date g /:?~/t;4-
<br />
<br />,
<br />
<br />Mill Levy
<br />
<br />COUNTY USE ONLY
<br />
<br />Stmt# -
<br />
<br />ORIGINAL
<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 />- \
<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 />CASS COUNTY AUDITOR
<br />
<br />SD# -~ Payment Made: Y N
<br />
<br />ADJUSTMENT RECALCULATED
<br />
<br />DATE
<br />
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