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<br />2006068 J~T~~F FARGO ASSESSMEN1DEr'ARnVl~'NT
<br />Assessment Correction Form County #
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<br />
<br />City #
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<br />f\' "'), ~ o'c J I::>, C'D"
<br />Parcel Number _lJ j' 1,)(,/0 - 0'0 i:.o J' ','
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<br />S li] J1'\ /)
<br />Lot / d' 0',\ (; Block
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<br />Addition &i0tnd /h/jz.;~,\.:) If!! '
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<br />Name ~ti/:0 .)Ztf.,Y\ f2,?ihvuJJ
<br />
<br />Address L/Lj75 :,:;3 J:tS
<br />
<br />Assessment Year
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<br />~ J .- 1 !
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<br />Reason j'lI'--'t.....!....l L.....(J / (...-"....7'... If'" ~). (./'~.'-cv,.
<br />
<br />--.---.------- True & Full Value ---
<br />
<br />Change Land From: $
<br />Chonge Bldg From: $
<br />Totol Value From: $_
<br />Property Use From:
<br />Homestead Credit:
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<br />/'- I
<br />J, LeO!,)
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<br />-C.-j
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<br />Assessor
<br />
<br />
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<br />
<br />stmt #_
<br />
<br />Mill Levy
<br />
<br />Assessed (.50 T & F)
<br />Taxable (R=.09, A&C=.lO)
<br />Homestead Credit
<br />Net Taxable Value
<br />
<br />Consolidated Tax
<br />Specials
<br />Drain #
<br />Total Tax
<br />
<br />j." .
<br />" "
<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 />CASS COUNTY J\lJDlTOR
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<br />(8.) CAE
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<br />COUNTY USE ONLY
<br />
<br />SD#
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<br /> 1,,- ,
<br />To: $ '- uO::J
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<br />To: $ , -<i .J
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<br />To: $ a:3 700
<br />To: (Q) C A E
<br />
<br />% ownership (if not full)
<br />
<br />7 -"iO!
<br />Date ;(J i '-, - ,p
<br />
<br />Payment Made: Y N
<br />ADJUSTMENT RECALCULATED
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<br />
<br />DATE
<br />
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