Form 50-182 - Tax Certificate - 1993

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50-182 (9-93)
[31.08 (4-82) ]
TAX CERTIFICATE
Collecting office name
Collecting tax for: (taxing units in which property is located)
Present mailing address (number and street)
City, town or post office, state, ZIP code
Phone (area code and number)
Owner's name
Property account number
Step 1:
Owner's name
Present mailing address (number and street)
and address
City , town or post office, state, ZIP code
Phone (area code and number)
Step 2:
Property description:
Describe the
property
Step 3:
Delinquent
This is to certify that, after a careful check of the tax records of this office, the following delinquent taxes, penalties and interest are
due on the described property for the following taxing unit(s):
taxes
Delinquent Taxes,
Year Delinquent
Taxing Unit
Penalties & Interest
1.
$
$
2.
$
3.
$
4.
$
5.
TOTAL
$
(If applicable) The above-described property has / is receving special appraisal based on its use, and additional rollback taxes may
become due based on the provisions of the special appraisal.
Step 4:
Authorized officer of collecting office
Date of tax certificate
sign
here
Authorized
signature

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