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<br />\( \f IfJ ~ fi.- /7 \/ 1/ <br />/ 'J~ X LV fLLtk::dLj) ()A~/)~(()2/J flla~!L;f; ':lr-)C <br />I CITY OF FARGO ASSESSMENT DEPARTMENT <br />City # ___1_00703~___ J. Assessment Correction Form County # <br /> <br />~ Parcel Number ___QJ:__12_35Q=-Ol~~ 00..)__ Assessment Year ____000 L_________ <br />Lot_ ;IS ________~____ Block __~__~____________________ <br /> <br />Addition___dL~_3 rli. ____ ___ ____________ <br /> <br />Name ~~*- tJMdb~ _ __________ _ _ ____ <br /> <br />Address _;)/Cj6 &J_k_2___________ ___ <br /> <br />Reason rvau C-b{l4t; r~y{?d --p~ <br /> <br />True & Full Value ~ <br /> <br />Change Land From: $ ______L8j d-D--9______~ To: $ _'-___) fL~O __~__ <br />Change Bldg From: $ ________ 3S,~\)Q________~ To: $ _________!1~QD~~___ <br />Total Value From: $ ___u_~-'QQO __u___~___ To: $ ~___jI;},,~DQ-------- <br />Property Use From: @ CAE To: @ CAE <br />Homestead ~? _un; ~edit __________ __ % ownership (if not full) <br /> <br />Assessor~~4~--- _ . Date______~~ ill ~007_ <br />- <br />/ <br /> <br />COUNTY USE ONLY <br /> <br />Stmt# __________m___ Mill Levy ~_______ ________ SD# ____._______ Payment Made: Y N <br />ORIGINAL ADJUSTMENT RECALCULATED <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 />CASS COUNTY AUDITOR <br /> <br />DATE <br />