Application And Affidavit For Redemption Of Parcel Sold For Taxes On Or After April 24, 1995 Form

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APPLICATION AND AFFIDAVIT FOR
REDEMPTION OF PARCEL SOLD FOR TAXES
ON OR AFTER APRIL 24, 1995
District
______________________________
Amount of
Parcel No. ______________________________
Redemption $
_________________________________
Date of Tax Sale _________________________________
STATE OF IOWA
)
) ss.
COUNTY OF ______
)
__________
I, the undersigned, hereby request the
County Treasurer to issue, as directed by me, a Certificate of Redemption
__________
from tax sale of the above-numbered parcel located in
County. The undersigned hereby agrees to indemnify and save
________
harmless the
County Treasurer from any damages sustained because of such redemption. To satisfy the Treasurer that I
have an interest in the parcel 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, as of the date notice of expiration of right of redemption was
filed with the Treasurer,
said date being ____________________________________________:
[NOTE: One or more item(s) must be checked, where applicable.]
1. ________
The title-holder of record.
2. ________
The person in whose name the parcel was/is taxed.
3. ________
A person in possession of the parcel.
4. ________
A mortgagee 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 with an interest of record (examples: judgment creditor of record, vendee under recorded real
estate contract, holder of an inherited or devised recorded interest, tax sale certificate holder).
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 (this category is applicable only to tax sales occurring on or after April 24,
1995.)
If you checked box 7 or 8, briefly describe your interest in the parcel: ________________________________________________
________________________________________________________________________________________________________
Name of person or entity entitled to redeem
Signature
(please type or print)
Address
Title, or capacity of agent, attorney or personal representative
City - State - Zip Code
FOR OFFICE USE ONLY
Phone Number
Date
Verified By (full name):
ID √’d (Place X
on line)
Date
Subscribed and sworn to before me this _______ day of ____________________, _______.
_________________________________________
Notary Public in and for the State of ____________
[Seal]
This form available at
Rev 08/03/2009 TX Application and Affidavit-ITAT Generic-after April 24, 1995.doc

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