2010-02-24 CC Packet - Laserfiche WebLink

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APPLICATION FOR ABATEMENUADDITION OF - SPECIAL ASSESSMENTS For Taxes Assessed in 2 009 and Payable in 20 Please print or type. Applicant/ Owne Ci of Cent fnr AAAi.e. T. Applicant/ Owner Mailing Address City of Centerville, 1880 Main Street Applicant/ Owner Telephone Numb 6S 1�0 _a1a1 7389 Mill Road Date of Application 02 -19 -10 DESCRIPTION OF PROPERTY I Property I.D. or Parcel Number R14- 31 -22 -31 -0016 Street Address (if different than above) I City or Township Centerville LEGAL DESCRIPTION OF PROPERTY APPLICANT'S STATEMENT OF FACTS Ms. Jaques made payment to the City of Centerville on March 30, 2009 to satisfy said assessment. APPLICANT'S REQUEST Include fund number &amount due for payable tax year being abated, not total principal amount. School District Number 12 Fund 484264 — Scheduled Payment - $2,079.39, Principal Payment - $982.65, Interest Payment - $1,096.73, Principal Remaining - $18,957.92 Applicant's Signature Date NOTE: Minnesota Statutes 1988, Section 609.41, "Whoever, in making any statement, oral or written, which is required or authorized bylaw 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 $3,000, or both." The following accurately reflects both existing and proposed amounts. 23