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Anoka l.ounty unnsion or rroperly necoras ec r axation Aoaremenr rorm / (nev I /?!) APPLICATION FOR ABATEMENT - SPECIAL ASSESSMENTS (M.S. 375.192) For Taxes Assessed in 19 9 9 and Payable in 1999 - 20082 Please print or type. Applicant's Name City of Center Applicant's Mailing Address Applicant's Social Security Number City of Centerville Applicant's Telephone Number (651) 429 -3732 1880 Main Street Centerville, MN 55038 Date of Application 10/6/00 DESCRIPTION OF PROPERTY Property 1.D. or Parcel Number R23- 31 -22 -31 -0064 Street Address (if different than above) City or Township School District Number 6973 Meadow Circle Cent Pry; 1 1P 1 LEGAL DESCRIPTION OF PROPERTY LOT /UNIT 16 BLK /TRACT 2 PARKVIEW APPLICANT'S STATEMENT OF FACTS On July 9, 1999 the City of Centerville received payment in full from Burnett Title (Ck 1/91831) to satisfy the special assessments on Lot 16, Block 2 PI R23- 31 -22 -31 -0064. The City of Centerville inaccurately updated their in___nal records and did not notify the County of payment in full. APPLICANT'S REQUEST Include fund number & amount due for payable tax year being abated, not total principal amount. Fund 82840 2000 - $1,846.47 2004 - $1,846.47 2001 - $1,846.47 2005 - $1,846.47 - 2002 - $1,846.47 2006 - $1,846.47 2003 - $1,846.47 2007 - $1,846.47 2004 - $1,846.47 2008 - $1,846.47 Applicant's Signature Date NOTE: Minnesota Statutes 1988, Section 609.41, "Whoever, in making any statement, oral or written, which is required or authorized by law to be made as a basis of imposing, reducing or abating any tax or assessment, intentionally makes any statement as to any material matter which the matter of the statement knows is false my be sentenced, unless otherwise provided by law, to imprisonment for not more than one year or to payment of a fine of not more than 53,000, or both."