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<br />City #
<br />
<br />2004185
<br />
<br />CITY OF FARGO ASSESSMENT DEPARTMENT
<br />Assessment Correction Form
<br />
<br />County #
<br />
<br />Parcel Number
<br />
<br />~ q </i) ~ (}):~.fY)
<br />
<br />Lot
<br />
<br />;J
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<br />
<br />Assessment Year
<br />
<br />Block
<br />
<br />Addition $;31'.( ~ > :{; íÍ 1/1/ ili ci;e;/'
<br />, ) c' " I' I
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />Name ÛlIJVt//)Yi ,} 'fr¡¡~h'-) llîtYiYVf/(/,/JI(J,-j
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<br />Address) 51: 3 -.J?vn¿æJc/j-: SrÚß/1,,9.-
<br />
<br />Reason ---.r -t iVL OJ¡ e ¡, /U) (6' :!A_/L/l(f;:¿(,~;.. .c-- J/ /?J ¡ ?t, (;, ..' ì
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<br />
<br />True & Full Value
<br />
<br />Change Land From: $
<br />Change Bldg From: $
<br />Total Value From: $
<br />
<br />. c
<br />, Z, Lj1J t)
<br />
<br />-!J
<br />7 F, l~(h
<br />
<br />Property Use From:
<br />Homestead Credit:
<br />
<br />R; C
<br />,_/
<br />
<br />A
<br />
<br />E
<br />
<br />Assessor
<br />
<br />
<br />To: $
<br />To: $
<br />To: $,
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<br />/g, L[()!)
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<br />:{:-, ;:;7'\ Fì,
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<br />To: ' R,' C
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<br />~' /' ,-¡nf ,/
<br />~', ,_/ ¡/ 7'
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<br />A
<br />
<br />E
<br />
<br />% ownership (if not full)
<br />
<br />Date
<br />
<br />C \ I . ,I
<br />6 -01 ,0 ~ Jc;,
<br />
<br />Mill Levy
<br />
<br />COUNTY USE ONLY
<br />
<br />Stmt#
<br />
<br />ORIGINAL
<br />
<br />Assessed (.50 T & F)
<br />Taxable (R=.O9, 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 />,--
<br />
<br />Consolidated Interest
<br />Specials Interest
<br />Drain # Interest
<br />Total Interest
<br />
<br />---~.,-~
<br />
<br />-~--------
<br />
<br />asRpt701
<br />
<br />CASS COUNTY AUDITOR
<br />
<br />SD# Payment Made: Y N
<br />ADJUSTMENT RECALCULATED
<br />
<br />~-_...,
<br />
<br />DATE
<br />
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