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<br />DRAFT <br /> <br />CITY OF CENTERVILLE <br /> <br />APPLICATION FOR PRINCIPAL DEFERMENT ON ASSESSMENT <br /> <br />. <br /> <br />Name of Property Owner <br /> <br />Address <br /> <br />Property ill #. <br /> <br />Legal Description of Property: <br /> <br />Assessment Description <br /> <br />Principal Amount of Assessment: $ <br /> <br />I/We hereby affirm that the above address is my principal residence and request that the . <br />City defer the payment of principal on the assessment of the above parcel of land for the <br />maximum time allowed in accordance with City policy. I understand that interest will <br />accrue annually during the period that the assessment is deferred [ or annual interest <br />payments must be made when due during the deferment period] and I understand that it is <br />my duty to notify the city of any change in circumstances that could affect my eligibility <br />for the deferment. <br /> <br />Date: <br /> <br />Signature of Owners <br /> <br />Printed Names of Signors <br /> <br />............................................................................ <br />Office use only. <br /> <br />Viewed proof of income and assets: <br /> <br />Deferment: _approved <br /> <br />Denied <br /> <br />. <br /> <br />Date <br /> <br />Form Number CV2008-02 <br /> <br />32 <br />