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MISSOURI DEPARTMENT OF REVENUE
FORM
TAXATION DIVISION
1313
P.O. BOX 453, JEFFERSON CITY, MO 65105-0453
(573) 751-5858
TDD 1-800-735-2966
(REV. 08-2012)
BACK TAX AGGREGATE ABSTRACT
PLEASE MAIL A COPY OF THE COMPLETED FORM TO BOTH: MISSOURI DEPARTMENT OF REVENUE, TAXATION DIVISION, P.O.
BOX 453, JEFFERSON CITY, MO 65105-0453 AND STATE TAX COMMISSION, P.O. BOX 146, JEFFERSON CITY, MO 65102-0146.
Of the Consolidated Back Tax Book of the County containing the uncollected taxes as real estate and personal property as follows.
COUNTY
YEAR
, MISSOURI
AND PRIOR YEARS AS OF MARCH 1ST, 20
SUBCLASS 1 AND 2
SUBCLASS 3
UNCOLLECTED TAXES
REAL ESTATE
REAL ESTATE
State Tax,
$
County Revenue Tax,
Township Tax,
County Road and Bridge Tax,
Special Road and Bridge Tax,
School Tax,
Subclass 3 Surtax,
TOTAL REAL ESTATE TAXES,
PERSONAL PROPERTY
State Tax,
County Revenue Tax,
Township Tax,
County Road and Bridge Tax,
Special Road and Bridge Tax,
School Tax,
TOTAL PERSONAL TAXES
TOTAL REAL ESTATE AND PERSONAL TAXES,
Being Clerk of the County Court within and for said county, I do hereby certify that the above and foregoing is a true, full and complete abstract of the consoli-
dated Back Tax Book of said county for the uncollected taxes on real estate and personal property. IN WITNESS WHEREOF, I have hereunto set my hand
and affixed the seal of the County Court.
YEAR
OFFICE LOCATION
DATE (MM/DD/YYYY)
and prior years, as of
March 1st, 20
.
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CLERK OF THE COUNTY COURT
COUNTY
STATE OF
MISSOURI
RECEIVED OF
CLERK OF THE COUNTY COURT
COUNTY
, MISSOURI
The Consolidated Back Tax Book of said county containing the uncollected taxes on real estate and personal property for the year indicated and prior years, amounting in the
aggregate as set out in the above abstract.
YEAR
AMOUNT
DATE (MM/DD/YYYY)
__ __ __ __
__ __ / __ __ / __ __ __ __
COLLECTOR OF THE REVENUE
COUNTY
DOR-1313 (08-2012)
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