Form Dte 23 - Application For Real Property Tax Exemption And Remission Page 4

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DTE 23
Rev. 03/05
Page 4
Treasurer’s Certificate
If the treasurer’s certificate is not properly filled out and signed, the tax commissioner will have no jurisdiction to act
on the application and it will be subject to dismissal.
(Notice to treasurer: The first paragraph of this certificate must always be complete.)
I hereby certify that all taxes, special assessments, penalties and interest levied and assessed against the above
described property have been paid in full to up and including the tax year
. The most recent year for which
taxes and special assessments have been charged is tax year
.
I further certify that the only unpaid taxes, special assessments, penalties and interest that have been charged
against this property are as follows:
Taxes
Special Assessments
(including penalties and
(including penalties and
Parcel Number
Tax Year
interest)
interest)
If additional years are unpaid, please list on an attached sheet.
Have tax certificates been sold under R.C. 5721.32 or 5721.33 for any of the property
Yes
No
subject to this application?
Are any unpaid taxes listed on this certificate subject to a valid delinquent tax contract
Yes
No
under R.C. 323.31(A)?
If yes, list tax years
Comments:
County treasurer (signature)
Date

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