Form Dte 122a - Request For Foreclosure Page 2

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Other Tax Certifi cates on Parcel
1. Tax certifi cate number
Lien year(s)
Certifi cate redemption price $
2. Tax certifi cate number
Lien year(s)
Certifi cate redemption price $
3. Tax certifi cate number
Lien year(s)
Certifi cate redemption price $
4. Tax certifi cate number
Lien year(s)
Certifi cate redemption price $
Total (place on front of form) $
Taxes Not on a Tax Certifi cate
1. Lien year
Amount $
2. Lien year
Amount $
3. Lien year
Amount $
4. Lien year
Amount $
Total (place on front of form) $

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