RP-556-b (9/04)
PART II. For use by COUNTY DIRECTOR, VILLAGE ASSESSOR: Attach written report including
documentation and recommendation.
Date application received: __________________ Period of warrant for collection of taxes: ___________________
Last day for collection of taxes without interest: _______________________
Recommendation:
Approve application
Deny Application
_______________________________
____________________________________________
Date
Signature
PART III. For use by TAX LEVYING BODY:
APPLICATION APPROVED
Notice of approval mailed to applicant on (enter date):
Order transmitted to collecting officer on (enter date):
APPLICATION DENIED
Reasons:
Notice of denial mailed on (enter date): __________
Signature of Chief Executive Officer or
Date
Official Designated by Resolution
Clear Form
PART IV. FOR COLLECTING OFFICER’S USE:
Refunds: When an application concerns a tax that has already been paid, and the application is approved, the
applicant is entitled to a refund of the overpayment.
Credits: When an application concerns a tax that has not yet been paid, and the application is approved, the
applicant is entitled to a credit reducing the amount of the outstanding tax. The corrected tax must be paid with the
interest and penalties that have accrued up to that point, but no additional interest and penalties shall be imposed if
the corrected tax is paid within eight days of the date on which the notice of approval is mailed to the applicant (see
Part III of this form). The interest and penalties on the credited portion of the tax are cancelled.
Order from tax levying body received: _____________________________
Date
Corrected tax due:
$ _________________
Interest and penalties (if applicable):
$ _________________
Total corrected tax due:
$ _________________
Date
Tax roll corrected:
_________________
Tax bill corrected:
_________________
Application and Order annexed to the tax roll:
_________________
Payment of corrected tax received:
_________________
Total corrected tax due:
_________________
Signature of Collecting Officer
Date