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1' + -Ar';ta; s f (i�.7f'iil'{t(+ t=1UPJb t7HLL ULJU1Y 1 ,7 . IYCOt . <br /> Gr <br /> Date ` - 20 No SHOULD BE <br /> I.D. 0ttJf '" Seq <br /> Year Value$ Comb Code <br /> 'Name k9rja`C:- TI'v- <br /> Taxing Districts Origtnai Tax Corrected Tax, <br /> ersonaLj Real Estate <br /> Location of:Property � � #° <br /> Loc. Tax Rate Com6.Code <br /> Value $ <br /> Reason for Correction f <br /> 111 <br /> I hereby iiirect the ounty Treasu r <br /> of Cou ty to aeceet <br /> this.official.correction =de-for the above .reed part _ <br /> 'and.description and to iss - his/her -ceipt in .ayment . <br /> the Corrected tax as shown -bove.' '11 correct .ns ma• <br /> on the tax roll must be show n red. <br /> Coirrity ssor-County Clerk <br /> Approved by.action of'ttxe Count :oard Total Tax <br /> 4 <br /> this day of- ' , 20 Penalty <br /> ,. ". Totals axh <br /> total Added$ <br /> ' a Chairman , 00m BBAltar9COPY <br /> FORM12S-Rinder Pnntmg Cud.Grand I$Iand,t4E Total Deducted $• _ <br /> • r ' Food Aaornvedby Audtor M Public Ateounti' <br /> nxS ^ vf+ s 5. � { rt X -i r iin Wi 1c r <br /> t. <br />