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<br />)~~Y~~~:~::~:~;~:E; <br /> <br />_~00I1&____ Assessment Correction Form <br /> <br />City # <br /> <br />County # __ <br /> <br />Parcel Number ~L- L//gj -- tJJ{jQI2:2HJ)______ Assessment Year ;2oJ)_l__________ <br />lot _______cl~____ ______________ Elock _~_ _ <br />Addition ;/1IJI./lb/lAt.- ~p. 14..t_ ..... ----- ._- <br />Name 1/!!J;tt:AaJ f Y(j rltCf/1Jl_J~_:tM I ~ JtJ-~_____________..__ <br />Addressn~q j~t ~ __1L__Ltu-d: --Y--------n--------~__ <br />Reason blind ~1l~ (}Y) 6.fVJ7;Jd be. b~ tJn 5/J I. ()UJ~ <br />True & Full Value <br />Change Land From: $ ___~_3D IL______ To: $_____ L~ ~Q________ <br />Change Bldg From: $______ -&___________ To: $ __~ 1( 300__ <br />Total Value From: $ ___M_LlI :3DQ__________ ___ To: $ ~ 3/, b~~_____ <br />Property Use From: R CAE To: @ CAE <br />Homestead cr. edit: /?_ . tZ.oo..credit. ______ % ownership (if n.ot. full) <br />Assessor_~ ~ .,u/~_ __ . ___ Date __ _ JUL 10 ~OOL__ <br />COUNTY USE ONLY <br /> <br />Stmt# <br /> <br />Mill Levy ________ ____ SD# _ ______________ Payment Made: Y N <br />ORIGINAL ADJUSTMENT RECALCULATED <br /> <br />Assessed (,50 T & F) <br />Taxable (R=.09, A&C=.1 0) <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 />CASS COUNTY AUDITOR <br /> <br />DATE <br />