Form 50-134 - Sample Current Tax Receipt
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1Comptroller
50-134
T
E
of Public
S
X
Accounts
(8-00/2)
A
FORM
SAMPLE CURRENT TAX RECEIPT
TAX RECEIPT FOR ________ TAXES PAID
Collecting office name
Receipt No. __________________
(Taxing units)
Collecting for: __________________________ ________________________________________________________
Address
City, State, ZIP Code
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Property owner
Property description
Name
_____________________________________
Address
_____________________________________
City, State, ZIP Code
_____________________________________
Property account number _________________________________________________________________________
Taxing Units
Taxable Value
Tax Rate
Taxes Paid
1.
2.
3.
4.
5.
Split payment: ______________________
Date paid ___________________
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Parent category: Financial