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TA I L ST'GORRECTIONS HALL COUNTY, NEBRASKA' <br /> Date _ __ 20 ILQ 'No. 5 rtu. SHOULD BE <br /> value$ `'1/4-\ •:3 Comb.Code <br /> ID. kA Sec Year <br /> Name L -1_ rx re\e y'ei7 lr 7t <br /> Taxing Districts Original Tax Corrected Tax <br /> Personal Real Estate <br /> Location of Property � t! <br /> Loc. <br /> Tax Rate 1jQJComb.Code <br /> value$ <br /> Reason for`Correction <br /> I hereby direct the County Treasurer <br /> of - °3 k\ . County to accept <br /> this official correction made for the above named;party <br /> and description and toissue his/her receipt in payment of <br /> the corrected tax as shown above. All corrections made <br /> on the ta ro ust be s ed. <br /> County Assessor-County <br /> Approved by - tion of the County Board Total Tax r 11 +# <br /> rr <br /> this ors day �'^. `i, .°Yl ltli ,201E,- Penalty <br /> ® .� Total Added$ <br /> FORM 129S Rindee Pnnrmg0o 43rond1316 Ne Total Deducted, $ <br /> Form Approved by Auditorof Puyhe Acfuoats ^.. <br />