Form Mt-11 - Certificate Of Valuation In The Matter Of Apportionment Of Mortgage Tax

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Department of Taxation and Finance
Certificate of Valuation
In the Matter of Apportionment of Mortgage Tax
County of
(city or town)
Pursuant to the provisions of Tax Law section 260, the undersigned hereby certify that the last preceding
special franchise valuation and the valuation made by the local assessors of the real property
owned by
in the tax district (city or town) of
as per description furnished by the recording officer of the County of
is as follows:
20
Special franchise ................................................................................................................ $
20
Local assessors’ valuation ................................................................................................. $
Total .................................................................................................................................... $
Recording Officer, County Treasurer, or Board of
Assessors to sign this certificate
Dated
, 20
MT-11 (6/15)

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