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<br />Cityt'
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<br />2006065
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<br />[~:~TY OF FARGO ASSESSMENT DEPARTMEN~'
<br />Assessment Correciion Form County #
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<br />Parcel Number u, ~!\O'J ~u ; lDO ...,,)():]
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<br />Assessment Year
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<br />Lot
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<br />Block
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<br />Reason
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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 />c?d, 500
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<br />To: $_
<br />To: $
<br />To: $_
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<br />3 -7, -7c()
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<br />Properly Use From:
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<br />(JI. C A 'E
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<br />To:
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<br />/R""'C A E
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<br />Homestead Credi!:,~-;:" % C7EJd't ___.'Yo ownership (If not full)
<br />"::91
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<br />Assessor -(/~Jd.t-"Cd)t-~iZ4,4!}ti,1 ~~ Date (,9--/'/ '0("
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<br />,Stmt # ___~__
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<br />COUNTY USE ONLY
<br />Mill Levy ~_____~ SD #
<br />ORIGINAL
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<br />Payment Made: Y N
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<br />
<br />Assessed (.50 T & F)
<br />Taxable (R=.09,A&C=.1O)
<br />Homestead Credit
<br />Net Taxable Value
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<br />
<br />Consolidated Tax
<br />Specials .
<br />Drain #
<br />Total Tax---------
<br />
<br />Consolidated Discount (5%)
<br />
<br />Consolidaled Penalty
<br />Specials Penalty
<br />Drain # ~__ Penalty
<br />Total Penalty
<br />
<br />Consolidated Interest
<br />Specials Interest
<br />Drain # ____ Interest
<br />Totallnteresl
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<br />CASS COUNTY AUDITOR
<br />
<br />DATE
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