Form Hs-138 - Education Property Tax Payment Application - 2004
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1*041381199*
Education Property Tax
Payment Application
* 0 4 1 3 8 1 1 9 9 *
PRINT in BLUE or BLACK INK
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N N E E W W
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Q1.
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EDUCATION PAYMENT CALCULATION INFORMATION
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N N E E W W
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5a.
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5b.
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ADJUSTMENTS
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6.
6.
See Line 6 instructions if someone other than you or another member of the household own the homestead.
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7a.
See Line 7a instructions
7a.
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7b.
See Line 7b instructions
7b.
OTHER EDUCATION PROPERTY VALUES See instructions
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0 0
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0 0
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SIGN
HERE
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Preparer’s
Use Only
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