Form 3944 - Request For Approval Of Computerized Tax Roll By County Treasurer Page 3

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3944, page 3
PART 6: LOCAL UNIT CERTIFICATIONS - Computerized Tax Roll Application
We declare that the city or township named below, which we are authorized to represent, has the capacity to enable it to comply
with the requirements and that it will comply with the requirements of Act 112 of 1990, as amended. We understand that this
certification must be reaffirmed to the State Tax Commission every three years after approval by the State Tax Commission.
City or Township, County Name
City or Township Treasurer's Signature
Treasurer
Assessing Officer's Signature
Assessing Officer
Include a separate certification sheet for each local unit which will be using this computerized database system as its tax roll.

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