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<br />CITY OF FARGO ASSESSMENT DEPARTMENT
<br />Assessment Correction Form
<br />
<br />City #
<br />
<br />2004194
<br />
<br />County #
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<br />Parcel Number
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<br />
<br />Assessment Year
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<br />Lot f1 db q
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<br />Name U",' U ¿"-)¡'J-4:::,. "d" ,jJ,¡i',! '/7 ;".' ,,""1, un,' ",',
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<br />Address 3Lf/lf UI'L't-!-:¡ ,),'.1./) (f¿í:)¿ ;)/
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<br />Reason f'¿)/!JYI e
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<br />Change Land From: $
<br />Change Bldg From: $ .
<br />Total Value From: $
<br />
<br />Property Use From:
<br />
<br />Assessor
<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 />--
<br />CASS COUNTY AUDITOR
<br />
<br />Block
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<br />True & Full Value
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<br />To: $
<br />To: $
<br />To: $
<br />To:
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<br />% ownership (if not full)
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<br />Date
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<br />COUNTY USE ONLY
<br />
<br />Mill Levy
<br />
<br />SD# Payment Made: Y N
<br />
<br />ADJUSTMENT RECALCULATED
<br />
<br />ORIGINAL
<br />
<br />--
<br />
<br />-.,..-----
<br />
<br />DATE
<br />
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