APPLICATION AND AFFIDAVIT FOR
REDEMPTION OF REAL ESTATE SOLD FOR TAXES
District __________________________________
Parcel No.__________________________________
Amount of Redemption $_________________________________.
Certificate Number __________________________________.
STATE OF IOWA:
)
) SS.
COUNTY OF __________________________________)
I, the undersigned, hereby request that the ________________ County Treasurer issue, as
directed by me, a Certificate of Redemption from tax sale of the above‐numbered parcel of property
located in _______________ County. To satisfy the Treasurer that I have an interest in the property
itself sufficient to give me a right to redeem it upon payment of the proper amount, I do depose and
certify under penalty of perjury that I am, or the party on whose behalf I am acting is:
1.
The Titleholder of Record.
2.
The person in whose name the parcel was/is taxed.
3.
A person in possession of the parcel.
4.
A mortgage with a lien on the parcel.
5.
A vendor of the parcel under a recorded contract of sale.
6.
A lessor with a recorded lease or recorded memorandum of a lease.
7.
Any other person who has an interest of record.
8.
A person who acquired an interest in or possession of the parcel subsequent to the filing of
the notice of expiration of the right of redemption (only on Certificates after April 24, 1995)
If box 7 or 8, brief description of interest in the parcel: _______________________________________
________________________________________________________________________________________________
Person or entity to redeem (print)
Signature
Address
Title, or capacity if agent, attorney or personal
representative
Subscribed and sworn to before me this _______ day of ____________________, 20_______.
__________________________________________________.
Notary Public in and for the State of Iowa