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<br />Form AUD 2M 5-69
<br />
<br />Co.IDillion.r of T oation
<br />
<br />Commissioner's No.
<br />
<br />County Auditor's No.
<br />
<br />RAMSEY COUNTY
<br />
<br />APPUCATION OF
<br />
<br />Name.
<br />
<br />Addres s.
<br />
<br />Application for Ilelier
<br />
<br />Gp.e..l Fo...
<br />
<br />-False Tax Statement-Whoever, in making any state.
<br />ment, oral or written, which is required or authorized
<br />by law to be made as a basis of imposing, reducing
<br />orabating any tax or assessment, intentionally makes
<br />any statement as to any material matter which he
<br />knows is false may be sentenced, unless otherwise
<br />provided by law, to imprisonment for not more than
<br />one year or to payment of a fine of not more than
<br />$1,000, or both. MSA 609.41
<br />
<br /> Assessed Ad-Valorem Assess. Total Tax
<br /> Value Tax and Assess.
<br />Original
<br />Reduced
<br />Balance
<br />Amt.Paid
<br />Amt. Due
<br />
<br />Amount to Refund $
<br />
<br />.
<br />
<br />STATE OF MINNESOTA
<br />DEPARTMENT OF TAXATION
<br />
<br />81. P au!, Minn..
<br />
<br />,19_
<br />
<br />Upon due consideration of the within application
<br />it is ordered that the same be and it is hereby rejected.
<br />
<br />Commissioner of Taxation
<br />
<br />By
<br />
<br />Deputy.
<br />
<br />St. Paul, Minn., .19_
<br />
<br />Upon due consideration of the within application
<br />it is ordered that the same be and it hereby is
<br />granted in manner and form and to the extent re_
<br />commended by the Board of Abatement or County
<br />Board and County Auditor of the within named
<br />County.
<br />The Auditor and Treasurer of said County are
<br />therefore hereby authorized and directed to make
<br />such changes and entries in the records and books
<br />in their respecti v.e offices as may be necessary to
<br />carry out this order.
<br />
<br />Commissioner of Taxation
<br />
<br />By
<br />
<br />Deputy.
<br />
<br />St. Paul, Minn., ,19_
<br />Upon due consideration of the within application
<br />it is ordered that the
<br />
<br />The Auditor and Treasurer of the within named
<br />County are therefore hereby authorized and directed
<br />to make such changes and entries in the records
<br />and books of their respective offices as may be
<br />necessary to carry out this order.
<br />
<br />Commissioner of Taxation
<br />
<br />By
<br />
<br />Deputy.
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